Deborah Faye Ketcham, LCMHC
Counselor, Mental Health in Colchester, VT. Individual provider (NPI-1).
NPI number1710079918
StatusActive
Last updated in NPPESJul 9, 2007
Details
- NPI
- 1710079918
- Entity type
- Individual (NPI-1)
- Name
- Ms. Deborah Faye Ketcham
- Credential
- LCMHC
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Sep 28, 2006
- Last updated
- Jul 9, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | 0680000576 | VT | Yes |
Practice location
133 Blakely RdSuite 213
Colchester, VT 05446-4007
Phone 802-864-3999
Mailing address
133 Blakely RdSuite 213
Colchester, VT 05446-4007
Phone 802-864-3999
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