MRS. ELAINE ANTHONY KETRING LCPC
NPI 1013197318
Counselor in Energy, IL
- Individual
- Female
- Counselor
About ELAINE KETRING
This page provides the complete NPI Profile along with additional information for Elaine Ketring, a provider established in Energy, Illinois with a medical specialization in Counselor. The healthcare provider is registered in the NPI registry with number 1013197318 assigned on November 2007. The practitioner's primary taxonomy code is 101Y00000X with license number 180-003332 (IL). The provider is registered as an individual and her NPI record was last updated 14 years ago.
- NPI
- 1013197318 Verify this NPI
- Provider Name
- MRS. ELAINE ANTHONY KETRING LCPC
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 404 N PERSHING ST ENERGY, IL 62933
- Location Phone
- (618) 942-2516
- Location Fax
- (618) 942-2516
- Mailing Address
- 208 N PERSHING ST UNIT 333 ENERGY, IL 62933
- Mailing Phone
- (618) 942-2516
- Mailing Fax
- (618) 942-2516
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 11-05-2007
- Last Update Date
- 09-13-2012
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Counselor
- Taxonomy Code
- 101Y00000X
- Type
- Behavioral Health & Social Service Providers
- License No.
- 180-003332
- License State
- IL
- Taxonomy Description
- 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's degree and clinical experience and supervision for licensure or certification.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1013197318, enumerated as an "individual" on November 05, 2007.
The provider is located at 404 N PERSHING ST ENERGY, IL 62933 and the phone number is (618) 942-2516.
Counselor with taxonomy code 101Y00000X.
