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Tara Ketteringham, LCPC
NPI 1104389071 · on the registry since 2019 · sole proprietor
Practice
- Address
- 5412 Old National Pike
Frederick, MD 21702 - Phone
- (240) 490-0256
Registry record
- Primary taxonomy
- Professional Counselor
101YP2500X
- Also registered as
- Professional Counselor
- Licence states on file
- MD
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-02-21
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Maryland