MRS. Keli Erin Tate, MS LPC

NPI #1669531653 in Mt Vernon, Illinois

Provider Information

NPI Number: 1669531653
Entity Type: Individual
Name: MRS. Keli Erin Tate, MS LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: MS LPC
Enumeration Date: Dec 6, 2006
Last Updated: Jul 8, 2007

Practice Location

Address: #1 DOCTOR PARK ROAD
Address 2: SUITE H
City: Mt Vernon
State: Illinois
ZIP Code: 62864
Phone: (618) 244-0344

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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