person
Tara Lynn Ketteringham, LCPC
Professional Counselor in Frederick, Maryland
NPI 1104389071

Tara Lynn Ketteringham is a Professional Counselor based in Frederick, MD and is specialized in Professional. Tara Lynn Ketteringham practices in Frederick, MD and has the professional credentials of LCPC. The NPI Number for Tara Lynn Ketteringham is 1104389071 and holds a License No. LC12334 (Maryland).

The current practice location address for Tara Lynn Ketteringham is 5412 Old National Pike, Frederick, MD and can be reached out via phone at 240-490-0256.

Location: 5412 Old National Pike, Frederick, MD, 21702-3640
person
Provider Profile Details
NPI Number
1104389071
Provider Name
Tara Lynn Ketteringham
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
5412 Old National Pike, Frederick, MD, 21702-3640
Phone Number
240-490-0256
Fax Number
Provider Enumeration Date
04/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
5412 Old National Pike
City
State
Zip
21702-3640
Phone Number
240-490-0256
Fax Number
person
Provider Business Mailing Address Details
Address
5412 Old National Pike
City
State
Zip
21702-3640
Phone Number
240-490-0256
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
LC12334 (Maryland)
Definition
Definition to come...
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