Individual provider · Type 1 NPI

Austin Keenan

Peer Specialist · Cheyenne, WY

NPI number 1104550300 Active

Practice location

1103 Old Town Ln
Cheyenne, WY 82009-4353

Call (307) 365-4460 Map

Specialties and licenses

TaxonomyCodeLicense
Peer Specialist Primary 175T00000XNone listed

Peer Specialist: Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.

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About NPI 1104550300

Austin Keenan's National Provider Identifier is 1104550300, issued on Jul 13, 2022. The primary taxonomy on file is Peer Specialist (175T00000X), and the practice location is in Cheyenne, WY. The record was last updated on Jul 13, 2022.