Individual provider · Type 1 NPI

Stephanie Ann Keane, PHD., NCC, LAT, LPC

Mental Health Counselor · Cody, WY

NPI number 1649507658 Active

Practice location

707 Sheridan Ave
Cody, WY 82414-3409

Fax (307) 578-2247

Mailing address

706 Longmont St
Gillette, WY 82716-2927

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor 101YA0400X206 (WY)
Mental Health Counselor Primary 101YM0800X728 (WY)

Mental Health Counselor: Definition to come...

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About NPI 1649507658

Stephanie Ann Keane, PHD., NCC, LAT, LPC's National Provider Identifier is 1649507658, issued on Nov 11, 2009. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Cody, WY. The record was last updated on Feb 8, 2023.