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Judith Tart Kettner, LPCMSLMFT
Marriage & Family Therapist in Jacksonville, North Carolina
NPI 1982688180

Judith Tart Kettner is a Marriage & Family Therapist based in Jacksonville, NC. Judith Tart Kettner practices in Jacksonville, NC and has the professional credentials of LPCMSLMFT. The NPI Number for Judith Tart Kettner is 1982688180 and holds a License No. NC LPC 3778 (North Carolina).

The current practice location address for Judith Tart Kettner is 200 Valencia Dr, Jacksonville, NC and can be reached out via phone at 910-346-9000 and via fax at 910-355-0672. You can also correspond with Judith Tart Kettner through the mailing address at 200 VALENCIA DR, JACKSONVILLE, NC - 28546-7356 (mailing address contact number: 910-346-9000).

Location: 200 Valencia Dr, Jacksonville, NC, 28546-7356
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1982688180
Provider Name
Judith Tart Kettner
Credential
LPCMSLMFT
Provider Entity Type
Individual
Gender
Female
Address
200 Valencia Dr, Jacksonville, NC, 28546-7356
Phone Number
910-346-9000
Fax Number
910-355-0672
Provider Enumeration Date
12/01/2005
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
131CH 01 BLUE CROSS BLUE SHIELD
institution
Provider Business Practice Location Address Details
Address
200 Valencia Dr
City
Jacksonville
State
North Carolina
Zip
28546-7356
Phone Number
910-346-9000
Fax Number
910-355-0672
person
Provider Business Mailing Address Details
Address
200 Valencia Dr
City
Jacksonville
State
North Carolina
Zip
28546-7356
Phone Number
910-346-9000
Fax Number
910-355-0672
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
101YP2500X
License No.
NC LMFT 516 (North Carolina)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
NC LPC 3778 (North Carolina)
Definition
A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.
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