Janice Lawrence Ketcham | Kennett Square, PA • PECOS Search

Janice Lawrence Ketcham

Counselor

Behavioral Health & Social Service Providers

110 E State St, Kennett Square, PA 19348-3100

(610) 500-0100 (610) 696-0325

PECOS Enrollment

Based on the most recent information from CMS, provider Janice Lawrence Ketcham does not have current enrollment records in PECOS.

Part B
Medicare Part B
Not Enrolled
HHA
Home Health Agency
Not Enrolled
DME
Durable Medical Equipment
Not Enrolled
PMD
Power Mobility Device
Not Enrolled

CMS last updated its PECOS records yesterday at 11:48 AM.

Profile Details

Provider ID
1467920348
Provider Type
Individual
Full Name
Ketcham, Janice Lawrence
Credential
MA, CAADC, LPC

Gender
Female
Sole Proprietor
Yes
Enumeration Date
11/8/2018
Last Updated
11/8/2018

Contact Information

Practice Location

110 E State St, Kennett Square, PA 19348-3100

Unlisted Fax

Mailing Location

811 W Chester Pike, West Chester, PA 19382-4844

Unlisted Fax

Provider Taxonomies

Code	Description	License
Code 101YP2500X Primary	Description Counselor Behavioral Health & Social Service Providers	License PC010867 Pennsylvania