person
Jonathon Matthew Keck, LPC,LCPC
Professional Counselor in Decatur, Illinois
NPI 1275285140

Jonathon Matthew Keck is a Professional Counselor based in Decatur, IL and is specialized in Professional. Jonathon Matthew Keck practices in Decatur, IL and has the professional credentials of LPC,LCPC. The NPI Number for Jonathon Matthew Keck is 1275285140 and holds a License No. 178.016620 (Illinois).

The current practice location address for Jonathon Matthew Keck is 102 W Kenwood Ave Ste 120A, Decatur, IL and can be reached out via phone at 217-693-6072.

Location: 102 W Kenwood Ave Ste 120A, Decatur, IL, 62526-3446
person
Provider Profile Details
NPI Number
1275285140
Provider Name
Jonathon Matthew Keck
Credential
LPC,LCPC
Provider Entity Type
Individual
Gender
Male
Address
102 W Kenwood Ave Ste 120A, Decatur, IL, 62526-3446
Phone Number
217-693-6072
Fax Number
Provider Enumeration Date
01/21/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
180015714 01 IL ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
178.016620 01 IL ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
institution
Provider Business Practice Location Address Details
Address
102 W Kenwood Ave Ste 120A
City
State
Zip
62526-4368
Phone Number
217-693-6072
Fax Number
person
Provider Business Mailing Address Details
Address
102 W Kenwood Ave Ste 120A
City
State
Zip
62526-4368
Phone Number
217-693-6072
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
180015714 (Illinois)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
178.016620 (Illinois)
Definition
Definition to come...
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