Individual
JACK KEGLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PC
Contact information
Practice address
950 MEADOW DR STE A, MOUNT GILEAD, OH 43338-1389
(419) 947-4560
(419) 947-2956
Mailing address
950 MEADOW DR STE A, MOUNT GILEAD, OH 43338-1389
(419) 947-4560
(419) 947-2956
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C-6351
OH
Other
Enumeration date
10/13/2014
Last updated
10/13/2014
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