Ketron, Cynthia Dawn

Ketron, Cynthia Dawn is an individual health care provider with primary practice located at 3218 Dutchess Dr , Kingsport TN 37663-2904. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Ketron, Cynthia Dawn can be contacted via phone (423) 239-5912.

Contact Information

Primary practice address
3218 Dutchess Dr Kingsport TN 37663-2904
Phone: (423) 239-5912
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X LSW0000003148 Tennessee

Profile Details

NPI number 1275756983
LBN Legal business name Ketron, Cynthia Dawn
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 11th, 2007
Last updated Jan 21st, 2008 - about 16 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.

Request for update

Identifiers

StateTypeNumberIssuer
All States NPI 1275756983 NPPES
Tennessee Other LSW0000003148 LCSW

Popular Providers