Individual provider · Type 1 NPI

Laura Ketcham, BA

Mental Health Counselor · Fountain Valley, CA

NPI number 1467056028 Active

Practice location

16580 Harbor Blvd Ste M
Fountain Valley, CA 92708-1385

Specialties and licenses

TaxonomyCodeLicense
Personal Care Attendant 3747P1801XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1467056028

Laura Ketcham, BA's National Provider Identifier is 1467056028, issued on Nov 24, 2020. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Fountain Valley, CA. The record was last updated on May 23, 2024.