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David Ketner
Mental Health Counselor in Colchester, Connecticut
NPI 1891196978

David Ketner is a Mental Health Counselor based in Colchester, CT and is specialized in Mental Health. David Ketner practices in Colchester, CT. The NPI Number for David Ketner is 1891196978 and holds a License No. 000172 (Connecticut).

The current practice location address for David Ketner is 15 Balaban Rd, Colchester, CT and can be reached out via phone at 860-537-6100.

Location: 15 Balaban Rd, Colchester, CT, 06415-1701
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1891196978
Provider Name
David Ketner
Credential
Provider Entity Type
Individual
Gender
Male
Address
15 Balaban Rd, Colchester, CT, 06415-1701
Phone Number
860-537-6100
Fax Number
Provider Enumeration Date
09/09/2014
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
15 Balaban Rd
City
Colchester
State
Connecticut
Zip
06415-1701
Phone Number
860-537-6100
Fax Number
person
Provider Business Mailing Address Details
Address
15 Balaban Rd
City
Colchester
State
Connecticut
Zip
06415-1701
Phone Number
860-537-6100
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
000827 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
000172 (Connecticut)
Definition
Definition to come...
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