Individual provider · Type 1 NPI

Jennifer Kettmann

Mental Health Counselor · Santa Rosa, CA

NPI number 1255733861 Active

Practice location

1421 Guerneville Rd, Suite 218
Santa Rosa, CA 95403-7220

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1255733861

Jennifer Kettmann's National Provider Identifier is 1255733861, issued on Sep 25, 2014. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Santa Rosa, CA. The record was last updated on Sep 25, 2014.