Doctor Name: | MISS TRICIA KEATON |
NPI Number: | 1841670577 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | |
Business Practice Address: | 333 N La Grange Rd Suite One La Grange Park, IL - 605265646 |
Business Phone Number: | 7087455277 |
Business Fax Number: | |
Mailing Address: | 333 North Lagrange Road, LAGRANGE PARK |
State: | IL |
Postal Code: | 60526 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 06/08/2015 |
NPI Last Update Date: | 06/08/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |