Ketcham, Krista L

Ketcham, Krista L is an sole proprietor health care provider with primary practice located at 4100 Fairway Dr Suite 200, Carrollton TX 75010-6525. She recently has only one registered license in Behavioral Health & Social Service Providers / Professional, which is considered as her primary health care specialty. Ketcham, Krista L can be contacted via phone (214) 502-0991.

Contact Information

Primary practice address
4100 Fairway Dr Suite 200 Carrollton TX 75010-6525
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 19645 Texas

Profile Details

NPI number 1538216510
LBN Legal business name Ketcham, Krista L
Credentials M.ED., LPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 4th, 2007
Last updated Nov 2nd, 2011 - about 14 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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