Individual
EMILY ANNE KEONE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
CCM
Contact information
Practice address
241 HIGHLAND DR, PARK CITY, UT 84098-6405
(801) 865-9266
Mailing address
241 HIGHLAND DR, PARK CITY, UT 84098-6405
(801) 865-9266
Taxonomy
Speciality
Code
Description
License number
State
324500000X
Substance Abuse Rehabilitation Facility
Primary
—
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
F24-116349
BEHAVIORAL HEALTH CASE MANAGEMENT CERTIFICATE
UT
Enumeration date
01/01/2025
Last updated
01/01/2025
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