Healthcare Provider Details

I. General information

NPI: 1700608601
Provider Name (Legal Business Name): JONATHAN LEIGH KEE
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

Provider Other Name: JON KEE

II. Dates (important events)

Enumeration Date: 10/30/2024
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23 WADE HAMPTON DR
BEAUFORT SC
29907-1912
US

IV. Provider business mailing address

23 WADE HAMPTON DR
BEAUFORT SC
29907-1912
US

V. Phone/Fax

Practice location:
  • Phone: 980-275-9179
  • Fax:
Mailing address:
  • Phone: 980-275-9179
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number10246
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: