Mr Robert Carl Ketchum, CATC1 - Counselor in San Jacinto, CA

Mr Robert Carl Ketchum, CATC1 is a Counselor - Addiction (substance Use Disorder) based in San Jacinto, California. Mr Robert Carl Ketchum is licensed to practice in California (license number C054940518) and his current practice location is 1370 S State St Ste A, San Jacinto, California. He can be reached at his office (for appointments etc.) via phone at (951) 791-3350.

NPI number for Mr Robert Carl Ketchum is 1487025136 and his current mailing address is 1370 S State St Ste A, San Jacinto, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1487025136.

Contact Information

Mr Robert Carl Ketchum, CATC1
1370 S State St Ste A,
San Jacinto, CA 92583-4922
(951) 791-3350
(951) 791-3353

Map and Direction


Healthcare Provider's Profile

Full NameMr Robert Carl Ketchum
GenderMale
SpecialityCounselor - Addiction (substance Use Disorder)
Location1370 S State St Ste A, San Jacinto, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1487025136
  • Provider Enumeration Date: 10/07/2015
  • Last Update Date: 04/16/2024

Medical Identifiers

Medical identifiers for Mr Robert Carl Ketchum such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1487025136NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) K1208311033 (California)Secondary
171M00000XCase Manager/care Coordinator C054940518 (California)Secondary
101YA0400XCounselor - Addiction (substance Use Disorder) C054940518 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Robert Carl Ketchum is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Mr Robert Carl Ketchum, CATC1
1370 S State St Ste A,
San Jacinto, CA 92583-4922

Ph: (951) 791-3350
Mr Robert Carl Ketchum, CATC1
1370 S State St Ste A,
San Jacinto, CA 92583-4922

Ph: (951) 791-3350

Reviews and Comments


Counselor in San Jacinto, CA

Linda Darden, C.A.S.
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 2220 Girard St, San Jacinto, CA 92583
Phone: 951-925-8450    Fax: 951-658-5586
Ms. Rita Crumrine, MFT
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1604 S Santa Fe Ave # 403, San Jacinto, CA 92583
Phone: 951-654-2026    
Carmen Porche,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 102 W Main St, San Jacinto, CA 92583
Phone: 951-487-8883    Fax: 951-487-7949
Dorothy Bitter,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 102 W Main St, San Jacinto, CA 92583
Phone: 951-663-4827    
Karachy Va,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 102 W Main St, San Jacinto, CA 92583
Phone: 951-487-8883    
Corey Macedon,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 1604 S Santa Fe Ave, Suite 403, San Jacinto, CA 92583
Phone: 951-654-2026    Fax: 951-654-9927
Kenneth Stevens,
Counselor
Medicare: Not Enrolled in Medicare
Practice Location: 102 W Main St, San Jacinto, CA 92583
Phone: 951-327-5412    

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