Individual provider · Type 1 NPI

Keane Mathew Thompson

Mental Health Counselor · Waukegan, IL

NPI number 1891513693 Active

Practice location

2025 Washington St
Waukegan, IL 60085-5131

Mailing address

8415 Kedvale Ave
Skokie, IL 60076-2110

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1891513693

Keane Mathew Thompson's National Provider Identifier is 1891513693, issued on Sep 30, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Waukegan, IL. The record was last updated on Sep 30, 2024.