Provider Demographics
NPI:1912436429
Name:KEE, JOY L (LCSW)
Entity Type:Individual
Prefix:
First Name:JOY
Middle Name:L
Last Name:KEE
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:JOY
Other - Middle Name:L
Other - Last Name:RAGAIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:509 SOUTH BENTLEY STREET
Mailing Address - Street 2:
Mailing Address - City:MARION
Mailing Address - State:IL
Mailing Address - Zip Code:62959
Mailing Address - Country:US
Mailing Address - Phone:618-889-3258
Mailing Address - Fax:
Practice Address - Street 1:509 SOUTH BENTLEY STREET
Practice Address - Street 2:
Practice Address - City:MARION
Practice Address - State:IL
Practice Address - Zip Code:62959
Practice Address - Country:US
Practice Address - Phone:618-889-3258
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1490192151041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical