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90 places on the map belong to Echo Creek, including 1 start point. A place counts as Echo Creek's when it is within 1,200 squares of the town's label on the in-game map.
Echo Creek has 1 gun store, 1 gas station and 1 grocery store on the map.
Echo Creek is a humble town - the people here farm, pray, and like to keep to themselves - but it's rural Kentucky at its finest, and the perfect location for those wanting to explore the western reaches of Knox Country. Venture west to Ekron, take a trip south to Irvington and its famous speedway, or head north to Brandenburg. No matter which way you go, it'll be the trip of a lifetime!— the game's own description of Echo Creek

Each tile opens that layer on the county map.
The game files give each building's rooms but not the name on its sign. These are the named businesses and landmarks PZwiki lists for Echo Creek, at the wiki's coordinates, each checked to sit at or next to a Build 42 building — open one on the map or copy the command that takes you there.
Names, coordinates and shop signs from PZwiki, Echo Creek (CC BY-NC-SA 3.0), shared under the same licence.
The game's building files put 131 buildings with 709 rooms within 1,200 squares of Echo Creek's label, of 50 kinds. These kinds of room are in no more than one other town:
The closest of each, anywhere in Knox County, measured in a straight line from the town's label.
Ekron map3,192 squares away
Irvington map3,435 squares away
Fallas Lake map4,535 squares away
Rosewood map4,625 squares away
Brandenburg map5,117 squares away
Riverside map6,219 squares away
March Ridge map6,797 squares away
Muldraugh map7,238 squares away
West Point map9,042 squares away
Valley Station map11,374 squares away
Louisville map12,882 squares away