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

Tamar L Ketchum

Individual provider Mental Health Counselor · NPI 1164250239

Tamar L Ketchum is a Mental Health Counselor in Provo, Utah. Licensed in Utah. Registered with an NPI since 2024.

Licensed in
UT
In the registry since
2024

Practice location Address checks out

3507 N University Ave Ste 225
Provo, UT 84604-6635
Phone: (317) 800-0340
Show map & directions

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

Specialties & licences

Mental Health Counselor (primary) Taxonomy 101YM0800X · Licence 13648326-3502 (UT)

Record details

NPI number1164250239
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 22, 2024
Last updated in NPPESJuly 22, 2024
Certification dateJuly 22, 2024

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