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Individual

KEYAWNA JANICE LARSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
SWLC, ACLC

Contact information

Practice address
41 MERIDIAN CT APT A201, KALISPELL, MT 59901-4284
(406) 407-4513
Mailing address
41 MERIDIAN CT APT A201, KALISPELL, MT 59901-4284
(406) 407-4513

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
BBH-ACLC-LIC-78632
MT
104100000X
Social Worker
Primary
BBH-SWLC-LIC-68438
MT

Other

Enumeration date
12/20/2023
Last updated
12/21/2025
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