Keel, John C

Keel, John C is an individual health care provider with primary practice located at 12715 E Mission Ave , Spokane Valley WA 99216-1027. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Marriage & Family Therapist, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Keel, John C can be contacted via phone (509) 232-5766.

Contact Information

Primary practice address
12715 E Mission Ave Spokane Valley WA 99216-1027
Phone: (509) 232-5766
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X 2019022129 Missouri
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH61088852 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X 2017031420 Missouri

Profile Details

NPI number 1063978559
LBN Legal business name Keel, John C
Credentials MED, LMHC, LPC, LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 20th, 2019
Last updated Feb 19th, 2021 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1063978559 NPPES
Missouri MEDICAID 490068684
Missouri Other 11

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