Ketchum, Carly

Ketchum, Carly is an individual health care provider with primary practice located at 30200 Rancho Viejo Rd Ste D , San Juan Capistrano CA 92675-1560. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Ketchum, Carly can be contacted via phone (949) 391-1812.

Contact Information

Primary practice address
30200 Rancho Viejo Rd Ste D San Juan Capistrano CA 92675-1560
Phone: (949) 391-1812
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 81406 California

Profile Details

NPI number 1285085597
LBN Legal business name Ketchum, Carly
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2016
Last updated Sep 10th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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