Tate, Keli Erin

Tate, Keli Erin is an individual health care provider with primary practice located at #1 Doctor Park Road Suite H, Mt Vernon IL 62864. She recently has only one registered license in Behavioral Health & Social Service Providers / Counselor, which is considered as her primary health care specialty. Tate, Keli Erin can be contacted via phone (618) 244-0344.

Contact Information

Primary practice address
#1 Doctor Park Road Suite H Mt Vernon IL 62864
Phone: (618) 244-0344
Fax: (618) 244-1455
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Illinois

Profile Details

NPI number 1669531653
LBN Legal business name Tate, Keli Erin
Credentials MS LPC
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 6th, 2006
Last updated Jul 8th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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