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Individual
JONATHON MATTHEW KECK
Active
Individual
JONATHON MATTHEW KECK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC, LCPC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
178.016620
IL
101YP2500X
Professional Counselor
Primary
180015714
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
178.016620
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
01
—
180015714
ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
01/21/2022
Last updated
12/28/2023
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