CARLY KETCHUM

SAN JUAN CAPISTRANO, CA
NPI1285085597
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy106H00000X Marriage & Family Therapist
(Licence: CA  81406)
Enumeration Date2016-06-28
Last Update Date2020-09-10
Business Address
CARLY KETCHUM LMFT
30200 RANCHO VIEJO RD STE D
SAN JUAN CAPISTRANO, CA 92675-1560
Phone number: 949-391-1812
Mailing Address
CARLY KETCHUM LMFT
47 CORTE VIDRIOSA
SAN CLEMENTE, CA 92673-7009
Phone number: 949-391-1812
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