Individual provider · Type 1 NPI
Traci Alene Kettle
Marriage & Family Therapist · Idaho Falls, ID
Practice location
211 S Woodruff Ave Ste A3
Idaho Falls, ID 83401-4865
Mailing address
5261 Goldenridge Ct
Camarillo, CA 93012-4129
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | 4694 (ID) |
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…
4 other providers at this address
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- Melina Dorren Meus, MFTMarriage & Family Therapist Idaho Falls, ID NPI 1366354623
- David H. Ridley, MFTIMarriage & Family Therapist Idaho Falls, ID NPI 1396941571
- Aaron Mart Frazier Jr.Marriage & Family Therapist Idaho Falls, ID NPI 1447188479
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- Amy S. Schepcoff, LMFTMarriage & Family Therapist Idaho Falls, ID NPI 1518033208
About NPI 1679622971
Traci Alene Kettle's National Provider Identifier is 1679622971, issued on Jan 9, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Idaho Falls, ID. The record was last updated on Dec 9, 2025.