Individual provider · Type 1 NPI

Jasmine Renee Ketcham, C.A.S.A.C.

Addiction (Substance Use Disorder) Counselor · Brooklyn, NY

NPI number 1518399591 Active

Practice location

2020 Coney Island Ave
Brooklyn, NY 11223-2329

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X20382 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1518399591

Jasmine Renee Ketcham, C.A.S.A.C.'s National Provider Identifier is 1518399591, issued on Aug 1, 2013. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brooklyn, NY. The record was last updated on Aug 1, 2013.