NPI 1902664204
Jaclyn Nicole Ketchem, MFT
Practice location
- Address
- 1005 White Willow Way, Morgantown, WV 26505-6119
- Phone
- (304) 212-7238
- Mailing address
- 1793 Golden Oaks Rd, Holbrook, PA 15341-1719
Registered specialties
Marriage & Family Therapist
Primary
Registry record
- NPI
- 1902664204
- Entity type
- Individual
- Sex (as registered)
- Female
- NPI issued
- 11 Mar 2024
- Record last updated
- 11 Mar 2024
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.