Judith Tart Kettner is a Jacksonville, North Carolina based counselor who is specialized as Professional Counselor. Active license number of Judith Tart Kettner is NC LMFT 516 for Marriage & Family Therapist in North Carolina. Her current practice location is 200 Valencia Dr, Suite 109, Jacksonville. Patients can book an appointment with her at 910-346-9000.
Judith Tart Kettner is a licensed mental health practitioner trained to help individuals, couples, and groups address emotional, psychological, and behavioral challenges. She uses talk therapy and evidence-based counseling methods to support clients in managing mental health conditions, improving relationships, and developing coping strategies for life’s difficulties.
Complete Profile:
Judith Tart Kettner speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Name:
Judith Tart Kettner
Specialization:
Professional Counselor
Gender:
Female
Credentials:
LPC MS LMFT
Accepts Medicare Assignment:
No
Practice Address:
200 Valencia Dr, Suite 109, Jacksonville, North Carolina, 28546-7356
Phone:
910-346-9000
Fax:
910-355-0672
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
NPI Number:
1982688180
NPI Enumeration Date:
01 Dec, 2005
NPI Last Update On:
04 Jun, 2012
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Judith Tart Kettner are as mentioned below.
License Number
Specialization
State
Status
NC LMFT 516
Marriage & Family Therapist
North Carolina
Primary
NC LPC 3778
Professional Counselor
North Carolina
Secondary
Other Medical Identifiers:
Other legacy medical identifiers associated with Judith Tart Kettner such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
131CH
Other
BLUE CROSS BLUE SHIELD
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
200 Valencia Dr, Suite 109 Jacksonville, North Carolina
Zip:
28546-7356
Phone Number:
910-346-9000
Fax Number:
910-355-0672
Patients can reach Judith Tart Kettner at 200 Valencia Dr, Suite 109, Jacksonville, North Carolina or can call to book an appointment on 910-346-9000. *Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 09 June, 2025.