Individual provider · Type 1 NPI
Keli Erin Tate, MS LPC
Counselor · Mount Vernon, IL
NPI number
1669531653
Active
Practice location
#1 Doctor Park Road, Suite H
Mount Vernon, IL 62864
Fax (618) 244-1455
Mailing address
2901 Benton Road
Mount Vernon, IL 62864
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor Primary | 101Y00000X | None listed |
Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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About NPI 1669531653
Keli Erin Tate, MS LPC's National Provider Identifier is 1669531653, issued on Dec 6, 2006. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Mount Vernon, IL. The record was last updated on Jul 8, 2007.