Individual
DIANNA L. KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S., L.C.P.C.
Contact information
Practice address
20469 KENILWORTH RD, LOMA, MT 59460-7716
(406) 270-7372
Mailing address
20469 KENILWORTH RD, LOMA, MT 59460-7716
(406) 270-7372
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
1281
MT
Other
Enumeration date
12/04/2008
Last updated
12/04/2008
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