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Mr. Robert Carl Ketchum, CATC1
Addiction (Substance Use Disorder) Counselor in San Jacinto, California
NPI 1487025136

Robert Carl Ketchum is an Addiction (Substance Use Disorder) Counselor based in San Jacinto, CA and is specialized in Addiction (Substance Use Disorder). Robert Carl Ketchum practices in San Jacinto, CA and has the professional credentials of CATC1. The NPI Number for Robert Carl Ketchum is 1487025136 and holds a License No. K1208311033 (California).

The current practice location address for Robert Carl Ketchum is 1370 S State St Ste A, San Jacinto, CA and can be reached out via phone at 951-791-3350 and via fax at 951-791-3353.

Location: 1370 S State St Ste A, San Jacinto, CA, 92583-4922
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1487025136
Provider Name
Robert Carl Ketchum
Credential
CATC1
Provider Entity Type
Individual
Gender
Male
Address
1370 S State St Ste A, San Jacinto, CA, 92583-4922
Phone Number
951-791-3350
Fax Number
951-791-3353
Provider Enumeration Date
10/07/2015
Last Update Date
05/18/2024
institution
Provider Business Practice Location Address Details
Address
1370 S State St Ste A
City
San Jacinto
State
California
Zip
92583-4922
Phone Number
951-791-3350
Fax Number
951-791-3353
person
Provider Business Mailing Address Details
Address
1370 S State St Ste A
City
San Jacinto
State
California
Zip
92583-4922
Phone Number
951-791-3350
Fax Number
951-791-3353
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
C054940518 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Other Service Providers
Classification
Case Manager/Care Coordinator
Speciality
-
Taxonomy
171M00000X
License No.
K1208311033 (California)
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
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