Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Blake Ketterer

Individual provider Counselor · NPI 1285466672

Blake Ketterer is a Counselor in Moraine, Ohio. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
2

Practice location Address checks out

3095 Kettering Blvd
Moraine, OH 45439-1983
Phone: (937) 293-8300
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X
Case Manager/Care Coordinator Taxonomy 171M00000X

Record details

NPI number1285466672
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 15, 2024
Last updated in NPPESAugust 15, 2024
Certification dateAugust 15, 2024
Mailing address3095 Kettering Blvd, Moraine, OH 45439-1983

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