DR. Stephanie Ann Keane, PHD., NCC, LAT, LPC,

NPI #1649507658 in Cody, Wyoming

Provider Information

NPI Number: 1649507658
Entity Type: Individual
Name: DR. Stephanie Ann Keane, PHD., NCC, LAT, LPC,
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Credential: PHD., NCC, LAT, LPC,
Enumeration Date: Nov 11, 2009
Last Updated: Feb 8, 2023

Practice Location

Address: 707 SHERIDAN AVE
City: Cody
State: Wyoming
ZIP Code: 82414-3409
Phone: (307) 578-2486

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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