person
Madison Ketchum
Mental Health Counselor in Centralia, Washington
NPI 1538894134

Madison Ketchum is a Mental Health Counselor based in Centralia, WA and is specialized in Mental Health. Madison Ketchum practices in Centralia, WA. The NPI Number for Madison Ketchum is 1538894134 and holds a License No. (Washington).

The current practice location address for Madison Ketchum is 2428 W Reynolds Ave, Centralia, WA and can be reached out via phone at 360-330-9044 and via fax at 360-736-3139.

Location: 2428 W Reynolds Ave, Centralia, WA, 98531-4554
person
Provider Profile Details
NPI Number
1538894134
Provider Name
Madison Ketchum
Credential
Provider Entity Type
Individual
Gender
Female
Address
2428 W Reynolds Ave, Centralia, WA, 98531-4554
Phone Number
360-330-9044
Fax Number
360-736-3139
Provider Enumeration Date
07/19/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2428 W Reynolds Ave
City
State
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
360-736-3139
person
Provider Business Mailing Address Details
Address
2428 W Reynolds Ave
City
State
Zip
98531-4554
Phone Number
360-330-9044
Fax Number
360-736-3139
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
()
Definition
Definition to come...
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