# JASON WILLIAM KEICHER

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1245329838
- **Gender:** Man
- **Credential:** LCSW

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103TC1900X | Counseling Psychologist | 068800 | NY | — |
| 1041C0700X | Clinical Social Worker | 085469 | NY | Yes |
| 1041C0700X | Clinical Social Worker | 089.0134169 | VT | — |

## Other

- **Enumeration date:** 10/12/2006
- **Last updated:** 03/19/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 01079267 | — | NY |