Individual provider · Type 1 NPI
Keitt Stathem
Mental Health Counselor · Chicago, IL
NPI number
1972881811
Active
Practice location
2459 N Clark St, #3
Chicago, IL 60614-2717
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
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About NPI 1972881811
Keitt Stathem's National Provider Identifier is 1972881811, issued on Jul 26, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Chicago, IL. The record was last updated on Jul 26, 2011.