person
Mr. John Mckeithen, MED,LPC,LADC
Addiction (Substance Use Disorder) Counselor in New Haven, Connecticut
NPI 1770772576

John Mckeithen is an Addiction (Substance Use Disorder) Counselor based in New Haven, CT and is specialized in Addiction (Substance Use Disorder). John Mckeithen practices in New Haven, CT and has the professional credentials of MED,LPC,LADC. The NPI Number for John Mckeithen is 1770772576 and holds a License No. 001918 (Connecticut).

The current practice location address for John Mckeithen is 495 Congress Ave, New Haven, CT and can be reached out via phone at 203-781-4600 and via fax at 203-781-4624.

Location: 495 Congress Ave, New Haven, CT, 06511-5991
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Provider Profile Details
NPI Number
1770772576
Provider Name
John Mckeithen
Credential
MED,LPC,LADC
Provider Entity Type
Individual
Gender
Male
Address
495 Congress Ave, New Haven, CT, 06511-5991
Phone Number
203-781-4600
Fax Number
203-781-4624
Provider Enumeration Date
10/17/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
004082260 05 CT
0080494436 05 CT
008001325 05 CT
008022622 05 CT
institution
Provider Business Practice Location Address Details
Address
495 Congress Ave
City
State
Zip
06519-1312
Phone Number
203-781-4600
Fax Number
203-781-4624
person
Provider Business Mailing Address Details
Address
495 Congress Ave
City
State
Zip
06519-1312
Phone Number
203-781-4600
Fax Number
203-781-4624
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
00631 (Connecticut)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Professional
Taxonomy
License No.
001918 (Connecticut)
Definition
Definition to come...
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