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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

CARLY KETCHUM, LMFT

Active

CARLY KETCHUM, LMFT is a Marriage & Family Therapist healthcare provider located in SAN JUAN CAPISTRANO, California. NPI 1285085597 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · SAN JUAN CAPISTRANO, CA

Registration Details

NPI Number
1285085597
Provider Type
Individual
Gender
Female
NPI Issued
Jun 28, 2016 (10.141672623033 yrs)
Last Updated
Sep 10, 2020
License
81406 (CA)

Practice Information

Address
30200 RANCHO VIEJO RD STE D
SAN JUAN CAPISTRANO, CA, 926751560
Browse CA providers · Browse ZIP 92675
Phone
9493911812
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in SAN JUAN CAPISTRANO, CA

Name Credential NPI
MS. SANDRA NIX M.A. 1144266107
MR. DANIEL NONE VIGIL MFCC 1225050537
MARCI DADD LMFT 1396857082
MARGARET A CREEK MFT, ATR-BC 1699867937
MRS. ELIZABETH ANN CAPPELLETTI LMFT 1093856700
MRS. GLORIA ANNE CULLINANE M.A., M.F.T. 1740400787
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.