ISAIAH KETCHAM

SAN CLEMENTE, CA
NPI1134681802
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  103472)
Enumeration Date2019-04-02
Last Update Date2019-04-02
Business Address
ISAIAH KETCHAM MA, AMFT
616 S EL CAMINO REAL
SAN CLEMENTE, CA 92672-4298
Phone number: 949-226-9265
Mailing Address
ISAIAH KETCHAM MA, AMFT
1501 AVENIDA DE LA ESTRELLA
SAN CLEMENTE, CA 92672-1813
Phone number: