Individual provider · Type 1 NPI

Kyle Blain Keckley, IMFT, LPCC

Marriage & Family Therapist · Columbus, OH

NPI number 1154832483 Active

Practice location

195 N Grant Ave Ste 250
Columbus, OH 43215-2855

Fax (614) 928-9092

Mailing address

434 Eastland Rd
Berea, OH 44017-1217

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor 101YP2500XE1901016 (OH)
Marriage & Family Therapist Primary 106H00000XF.1700025 (OH)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1154832483

Kyle Blain Keckley, IMFT, LPCC's National Provider Identifier is 1154832483, issued on Oct 13, 2017. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Columbus, OH. The record was last updated on Feb 25, 2020.