Provider Demographics
NPI:1306974340
Name:MCKEE, JACQUELINE K (MS, LPC)
Entity type:Individual
Prefix:MS
First Name:JACQUELINE
Middle Name:K
Last Name:MCKEE
Suffix:
Gender:F
Credentials:MS, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 N WASHINGTON ST
Mailing Address - Street 2:
Mailing Address - City:BUTLER
Mailing Address - State:PA
Mailing Address - Zip Code:16001-5240
Mailing Address - Country:US
Mailing Address - Phone:724-234-3652
Mailing Address - Fax:724-256-5431
Practice Address - Street 1:128 N WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:BUTLER
Practice Address - State:PA
Practice Address - Zip Code:16001-5240
Practice Address - Country:US
Practice Address - Phone:724-234-3652
Practice Address - Fax:724-256-5431
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-01
Last Update Date:2021-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC003561101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional