Individual provider · Type 1 NPI

John Ketchum

Addiction (Substance Use Disorder) Counselor · Sacramento, CA

NPI number 1972746170 Active

Practice location

3307 Broadway, Sutie 200
Sacramento, CA 95817-2821

Call (916) 454-4242 Map

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

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

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About NPI 1972746170

John Ketchum's National Provider Identifier is 1972746170, issued on Apr 17, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Sacramento, CA. The record was last updated on Apr 17, 2009.