Individual provider · Type 1 NPI

Mary Elizabeth Ketchum, LPC

Professional Counselor · Starkville, MS

NPI number 1659867307 Active

Practice location

100 Starr Ave Ste K
Starkville, MS 39759-4032

Call (662) 425-1051 Map

Fax (662) 200-5960

Mailing address

142 Stidham Rd
Mathiston, MS 39752

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500X2188 (MS)

Professional Counselor: Definition to come...

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About NPI 1659867307

Mary Elizabeth Ketchum, LPC's National Provider Identifier is 1659867307, issued on Jul 5, 2018. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Starkville, MS. The record was last updated on Sep 10, 2021.