# PRAIRIE COUNSELING PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013588185
- **Authorized official:** DIANNA KEANE LCPC (PROVIDER)
- **Authorized official phone:** (406) 270-7372

## Contact information

- **Practice address:** 20469 KENILWORTH RD, LOMA, MT 59460-7716
- **Practice address phone:** (406) 270-7372
- **Practice address fax:** (406) 219-3369
- **Mailing address:** 20469 KENILWORTH RD, LOMA, MT 59460-7716
- **Mailing address phone:** (406) 270-7372
- **Mailing address fax:** (406) 219-3369

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1041C0700X | Clinical Social Worker | — | NULL | Yes |
| 1041C0700X | Clinical Social Worker | — | — | Yes |

## Other

- **Enumeration date:** 07/08/2021
- **Last updated:** 07/08/2021