person
Mrs. Susan M Keogh, LCPC
Professional Counselor in Normal, Illinois
NPI 1548348659

Susan M Keogh is a Professional Counselor based in Normal, IL and is specialized in Professional. Susan M Keogh practices in Normal, IL and has the professional credentials of LCPC. The NPI Number for Susan M Keogh is 1548348659 and holds a License No. 180001161 (Illinois).

The current practice location address for Susan M Keogh is 405 Kays Drive, Normal, IL and can be reached out via phone at 309-862-0064 and via fax at 309-862-1542.

Location: 405 Kays Drive, Normal, IL, 61761
person
Provider Profile Details
NPI Number
1548348659
Provider Name
Susan M Keogh
Credential
LCPC
Provider Entity Type
Individual
Gender
Female
Address
405 Kays Drive, Normal, IL, 61761
Phone Number
309-862-0064
Fax Number
309-862-1542
Provider Enumeration Date
11/02/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
101694 01 HEALTH ALLIANCE
5723204 01 BCBS
202808 01 MHN
institution
Provider Business Practice Location Address Details
Address
405 Kays Drive
City
State
Zip
61761
Phone Number
309-862-0064
Fax Number
309-862-1542
person
Provider Business Mailing Address Details
Address
405 Kays Drive
City
State
Zip
61761
Phone Number
309-862-0064
Fax Number
309-862-1542
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
180001161 (Illinois)
Definition
Definition to come...
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