Organization
PRAIRIE COUNSELING PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNA KEANE LCPC (PROVIDER)
(406) 270-7372
Entity
Organization
Contact information
Practice address
20469 KENILWORTH RD, LOMA, MT 59460-7716
(406) 270-7372
(406) 219-3369
Mailing address
20469 KENILWORTH RD, LOMA, MT 59460-7716
(406) 270-7372
(406) 219-3369
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1003051046
—
MT
Enumeration date
07/08/2021
Last updated
07/08/2021
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