Individual
MRS. KELI ERIN TATE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS LPC
Contact information
Practice address
#1 DOCTOR PARK ROAD, SUITE H, MT VERNON, IL 62864
(618) 244-0344
(618) 244-1455
Mailing address
2901 BENTON ROAD, MT VERNON, IL 62864
(618) 315-9645
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
IL
Other
Enumeration date
12/06/2006
Last updated
07/08/2007
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