Individual
JENNIFER KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
1717 LINCOLN WAY, SUITE 101, COEUR D ALENE, ID 83814-2556
(208) 699-5536
Mailing address
4938 N SHAW LOOP RD, COEUR D ALENE, ID 83815-7005
(208) 699-5536
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-3044
ID
Other
Enumeration date
06/13/2012
Last updated
06/13/2012
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