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

Individual provider Professional Counselor · NPI 1982688180

Judith Tart Kettner, LPCMSLMFT is a Professional Counselor in Jacksonville, North Carolina. Practices as a sole proprietor. Licensed in North Carolina.

Licensed in
NC
In the registry since
2005
Specialties on file
2
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Practice location Address checks out

200 Valencia Dr Ste 109
Jacksonville, NC 28546-7356
Phone: (910) 346-9000
Fax: (910) 355-0672
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence NC LMFT 516 (NC)
Professional Counselor Taxonomy 101YP2500X · Licence NC LPC 3778 (NC)

Record details

NPI number1982688180
Entity typeIndividual (Type 1)
GenderFemale
Credentials LPCMSLMFT
Sole proprietorYes
NPI enumeratedDecember 1, 2005
Last updated in NPPESJune 4, 2012

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