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Austin Keenan
Peer Specialist in Cheyenne, Wyoming
NPI 1104550300

Austin Keenan is a Peer Specialist based in Cheyenne, WY. Austin Keenan practices in Cheyenne, WY. The NPI Number for Austin Keenan is 1104550300 and holds a License No. (Wyoming).

The current practice location address for Austin Keenan is 1103 Old Town Ln, Cheyenne, WY and can be reached out via phone at 307-365-4460. You can also correspond with Austin Keenan through the mailing address at 1103 OLD TOWN LN, CHEYENNE, WY - 82009-4353 (mailing address contact number: 307-365-4460).

Location: 1103 Old Town Ln, Cheyenne, WY, 82009-4353
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104550300
Provider Name
Austin Keenan
Credential
Provider Entity Type
Individual
Gender
Male
Address
1103 Old Town Ln, Cheyenne, WY, 82009-4353
Phone Number
307-365-4460
Fax Number
Provider Enumeration Date
07/13/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1103 Old Town Ln
City
Cheyenne
State
Wyoming
Zip
82009-4353
Phone Number
307-365-4460
Fax Number
person
Provider Business Mailing Address Details
Address
1103 Old Town Ln
City
Cheyenne
State
Wyoming
Zip
82009-4353
Phone Number
307-365-4460
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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