person
Mary Elizabeth Ketchum, LPC
Professional Counselor in Starkville, Mississippi
NPI 1659867307

Mary Elizabeth Ketchum is a Professional Counselor based in Mathiston, MS and is specialized in Professional. Mary Elizabeth Ketchum practices in Starkville, MS and has the professional credentials of LPC. The NPI Number for Mary Elizabeth Ketchum is 1659867307 and holds a License No. 2188 (Mississippi).

The current practice location address for Mary Elizabeth Ketchum is 100 Starr Ave Ste K, Starkville, MS and can be reached out via phone at 662-425-1051 and via fax at 662-200-5960. You can also correspond with Mary Elizabeth Ketchum through the mailing address at 142 STIDHAM RD, MATHISTON, MS - 39752 (mailing address contact number: 662-425-1051).

Location: 100 Starr Ave Ste K, Starkville, MS, 39752
person
Provider Profile Details
NPI Number
1659867307
Provider Name
Mary Elizabeth Ketchum
Credential
LPC
Provider Entity Type
Individual
Gender
Female
Address
100 Starr Ave Ste K, Starkville, MS, 39752
Phone Number
662-425-1051
Fax Number
662-200-5960
Provider Enumeration Date
07/05/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
069799252 05 MS
institution
Provider Business Practice Location Address Details
Address
100 Starr Ave Ste K
City
State
Zip
39759-4032
Phone Number
662-425-1051
Fax Number
662-200-5960
person
Provider Business Mailing Address Details
Address
100 Starr Ave Ste K
City
State
Zip
39759-4032
Phone Number
662-425-1051
Fax Number
662-200-5960
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
2188 (Mississippi)
Definition
Definition to come...
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