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Individual

MR. GARY L. KECK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MS, LIMHP, CPC, LADC

Contact information

Practice address
502 W 2ND ST, GRAND ISLAND, NE 68801-5938
(308) 379-4040
Mailing address
4918 MERRICK AVE, GRAND ISLAND, NE 68801-9038
(308) 381-2823
(308) 385-5522

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
433
NE
101YM0800X
Mental Health Counselor
Primary
1903
NE
101YM0800X
Mental Health Counselor
691
NE
101YP2500X
Professional Counselor
1108
NE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
10025305100
NE
Enumeration date
12/11/2006
Last updated
10/26/2010
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