Individual provider · Type 1 NPI

Carly Ketchum, LMFT

Marriage & Family Therapist · San Juan Capistrano, CA

NPI number 1285085597 Active

Practice location

30200 Rancho Viejo Rd Ste D
San Juan Capistrano, CA 92675-1560

Call (949) 391-1812 Map

Mailing address

47 Corte Vidriosa
San Clemente, CA 92673-7009

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X81406 (CA)

Marriage & Family Therapist: 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 ment…

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About NPI 1285085597

Carly Ketchum, LMFT's National Provider Identifier is 1285085597, issued on Jun 28, 2016. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in San Juan Capistrano, CA. The record was last updated on Sep 10, 2020.