David Ketner
Counselor, Mental Health in Colchester, Connecticut
1891196978- Practice location
- 15 Balaban RD, Colchester, CT 06415-1701
- Phone
- 860-537-6100
- Fax
- —
- Last updated
- September 9, 2014
David Ketner is a Counselor, Mental Health based in Colchester, CT. David Ketner practices in Colchester, CT. The NPI Number for David Ketner is 1891196978 and holds a License No. 000172 (CT). The current practice location address for David Ketner is 15 Balaban RD, Colchester, CT 06415-1701 and can be reached out via phone at 860-537-6100.
Provider Profile Details
- NPI Number
- 1891196978
- Provider Name
- David Ketner
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 15 Balaban RD, Colchester, CT 06415-1701
- Phone Number
- 860-537-6100
- Primary Taxonomy
- Counselor, Mental Health · 101YM0800X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- September 9, 2014
- Last Update Date
- September 9, 2014
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Balaban RD
Colchester, CT 06415-1701 - City
- Colchester
- State
- Connecticut
- Zip
- 06415-1701
- Phone Number
- 860-537-6100
Provider Business Mailing Address Details
- Address
- 15 Balaban RD
Colchester, CT 06415-1701 - City
- Colchester
- State
- CT
- Zip
- 06415-1701
License Information
- License Number (1)
- 000172
- License State (1)
- CT
- Taxonomy (1)
- Counselor, Addiction (Substance Use Disorder) · 101YA0400X
- License Number (2)
- 000827
- License State (2)
- CT
- Taxonomy (2)
- Counselor, Mental Health · 101YM0800X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Counselor, Mental Health providers near Colchester, CT
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Frequently Asked Questions
What is the NPI number of David Ketner?
The NPI number of David Ketner is 1891196978. It was assigned on September 9, 2014 and is currently active in the NPPES registry.
What is the specialty of David Ketner?
David Ketner is registered under the primary taxonomy Counselor, Mental Health (code 101YM0800X), licensed in CT under license number 000172.
Where does David Ketner practice?
The practice location is 15 Balaban RD, Colchester, CT 06415-1701. The office can be reached at 860-537-6100 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1891196978 directly on the NPPES registry website.