Individual
MR. JOHN MCKEITHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED, LPC, LADC.
Contact information
Practice address
495 CONGRESS AVE, NEW HAVEN, CT 06519-1312
(203) 781-4600
(203) 781-4624
Mailing address
1 LONG WHARF DR, SUITE 321, NEW HAVEN, CT 06511-5991
(203) 781-4600
(203) 781-4624
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
00631
CT
101YP2500X
Professional Counselor
001918
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004082260
—
CT
05
—
008001325
—
CT
05
—
008022622
—
CT
05
—
0080494436
—
CT
Enumeration date
10/17/2007
Last updated
01/24/2022
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us