Most Relevant Information
Provider Data
| NPI Number: | 1003051046 |
| Provider Name: | DIANNA L. KEANE M.S., L.C.P.C. |
| Entity Type: | Individual |
| Taxonomy Code: | 101YP2500X |
| Specialty: | Counselor |
| License Number: | 1281 |
Most Important Dates
| Enumeration Date: | 12/04/2008 |
| Last Updated: | 12/04/2008 |
Provider Practice Location
20469 KENILWORTH RD
LOMA
MT
594607716
Practice Location Phone/Fax
| Phone: | 4062707372 |
| Fax: |
Provider Mailing Location
20469 KENILWORTH RD
LOMA
MT
594607716
Provider Mailing Phone/Fax
| Phone: | 4062707372 |
| Fax: |