Individual provider · Type 1 NPI

Jennifer Keane, LPC

Professional Counselor · Coeur D Alene, ID

NPI number 1083976146 Active

Practice location

1717 Lincoln Way, Suite 101
Coeur D Alene, ID 83814-2556

Call (208) 699-5536 Map

Mailing address

4938 N Shaw Loop Rd
Coeur D Alene, ID 83815-7005

Specialties and licenses

TaxonomyCodeLicense
Professional Counselor Primary 101YP2500XLPC-3044 (ID)

Professional Counselor: Definition to come...

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About NPI 1083976146

Jennifer Keane, LPC's National Provider Identifier is 1083976146, issued on Jun 13, 2012. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Coeur D Alene, ID. The record was last updated on Jun 13, 2012.