person
David Scott Ketcham, BA
Addiction (Substance Use Disorder) Counselor in Rawlins, Wyoming
NPI 1609180041

David Scott Ketcham is an Addiction (Substance Use Disorder) Counselor based in Rawlins, WY and is specialized in Addiction (Substance Use Disorder). David Scott Ketcham practices in Rawlins, WY and has the professional credentials of BA. The NPI Number for David Scott Ketcham is 1609180041 and holds a License No. CAP -19 (Wyoming).

The current practice location address for David Scott Ketcham is 143 Sonora Ct, Rawlins, WY and can be reached out via phone at 307-324-7156 and via fax at 307-328-1651. You can also correspond with David Scott Ketcham through the mailing address at 143 SONORA CT, RAWLINS, WY - 82301-5115 (mailing address contact number: 307-324-7156).

Location: 143 Sonora Ct, Rawlins, WY, 82301-5115
person
Provider Profile Details
NPI Number
1609180041
Provider Name
David Scott Ketcham
Credential
BA
Provider Entity Type
Individual
Gender
Male
Address
143 Sonora Ct, Rawlins, WY, 82301-5115
Phone Number
307-324-7156
Fax Number
307-328-1651
Provider Enumeration Date
07/27/2010
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
143 Sonora Ct
City
State
Zip
82301-5115
Phone Number
307-324-7156
Fax Number
307-328-1651
person
Provider Business Mailing Address Details
Address
143 Sonora Ct
City
State
Zip
82301-5115
Phone Number
307-324-7156
Fax Number
307-328-1651
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CAP -19 (Wyoming)
Definition
Definition to come...
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