Individual
DR. STEPHANIE ANN KEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD., NCC, LAT, LPC,
Contact information
Practice address
707 SHERIDAN AVE, CODY, WY 82414-3409
(307) 578-2486
(307) 578-2247
Mailing address
706 LONGMONT ST, GILLETTE, WY 82716-2927
(307) 686-0669
(307) 686-2121
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
206
WY
101YM0800X
Mental Health Counselor
Primary
728
WY
Other
Enumeration date
11/11/2009
Last updated
02/08/2023
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