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Individual
EDWARD MARTIN KEANE
Active
Individual
EDWARD MARTIN KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
8065-125
WI
101YM0800X
Mental Health Counselor
02691
MN
101YM0800X
Mental Health Counselor
180013170
IL
101YM0800X
Mental Health Counselor
Primary
8065-125
WI
101YP2500X
Professional Counselor
8065-125
WI
Other
Enumeration date
03/11/2020
Last updated
02/06/2026
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