Individual provider · Type 1 NPI

Jonathon Matthew Keck, LPC, LCPC

Professional Counselor · Decatur, IL

NPI number 1275285140 Active

Practice location

102 W Kenwood Ave Ste 120A
Decatur, IL 62526-4368

Call (217) 693-6072 Map

Mailing address

2131 N Oakcrest Ct
Decatur, IL 62526-3446

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X178.016620 (IL)
Professional Counselor Primary 101YP2500X180015714 (IL)

Professional Counselor: Definition to come...

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About NPI 1275285140

Jonathon Matthew Keck, LPC, LCPC's National Provider Identifier is 1275285140, issued on Jan 21, 2022. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Decatur, IL. The record was last updated on Dec 28, 2023.