Individual provider · Type 1 NPI

Tommy Rachel Ketcheside, MHPP

Mental Health Counselor · Huntsville, AR

NPI number 1992954663 Active

Practice location

1104 N College St
Huntsville, AR 72740-9672

Call (479) 750-2020 Map

Fax (479) 750-8967

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed
Other Technician 247200000XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1992954663

Tommy Rachel Ketcheside, MHPP's National Provider Identifier is 1992954663, issued on Sep 17, 2008. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Huntsville, AR. The record was last updated on Aug 8, 2014.