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

JUDITH TART KETTNER, LPC MS LMFT

Active Sole Proprietor

JUDITH TART KETTNER, LPC MS LMFT is a Marriage & Family Therapist healthcare provider located in JACKSONVILLE, North Carolina. NPI 1982688180 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · JACKSONVILLE, NC

Registration Details

NPI Number
1982688180
Provider Type
Individual
Gender
Female
NPI Issued
Dec 1, 2005 (20.667322979647 yrs)
Last Updated
Jun 4, 2012
Licenses
NC LPC 3778 (NC)
NC LMFT 516 (NC)
Sole Proprietor
Yes

Practice Information

Address
200 VALENCIA DR
SUITE 109
JACKSONVILLE, NC, 285467356
Browse NC providers · Browse ZIP 28546
Phone
9103469000
Fax
9103550672
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in JACKSONVILLE, NC

Name Credential NPI
MR. DONALD GREGORY WOLFE LMFT 1114999554
DOREEN MARIE CARROLL MS LMFT 1871567404
MR. RONALD G. WHITLEY MA,LMFT 1831245745
MS. CHRISTINA STAKELY LMFT 1720109812
MRS. TERESA B TINKLENBERG L.M.F.T. 1952517294
MR. GERALD MACON DAVIS LMFT 1437488236
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.