JOHN KETCHUM

SACRAMENTO, CA
NPI1972746170
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2009-04-17
Last Update Date2009-04-17
Business Address
-- JOHN KETCHUM
3307 BROADWAY SUTIE 200
SACRAMENTO, CA 95817-2821
Phone number: 916-454-4242
Mailing Address
-- JOHN KETCHUM
3307 BROADWAY SUTIE 200
SACRAMENTO, CA 95817-2821
Phone number: 916-454-4242
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