Individual provider · Type 1 NPI
Chelsie Ketton, LCPC
Mental Health Counselor · Rockford, IL
NPI number
1194366724
Active
Practice location
2218 Custer Ave
Rockford, IL 61103-4374
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 180012422 (IL) |
Mental Health Counselor: Definition to come...
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About NPI 1194366724
Chelsie Ketton, LCPC's National Provider Identifier is 1194366724, issued on Oct 4, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Rockford, IL. The record was last updated on Oct 4, 2019.