# KEELAN DENNIS MFT

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376018770
- **Authorized official:** KEELAN DENNIS MS (MENTAL HEALTH COUNSELOR)
- **Authorized official phone:** (309) 431-1649

## Contact information

- **Practice address:** 2103 E WASHINGTON ST STE 2G, BLOOMINGTON, IL 61701-4365
- **Practice address phone:** (309) 431-1649
- **Mailing address:** 2103 E WASHINGTON ST STE 2G, BLOOMINGTON, IL 61701-4365
- **Mailing address phone:** (309) 431-1649

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | — | NULL | Yes |
| 106H00000X | Marriage & Family Therapist | — | — | Yes |

## Other

- **Enumeration date:** 10/11/2018
- **Last updated:** 08/05/2021