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Contact Information

KEYAWNA J LARSON, SWLC, ACLC
41 MERIDIAN CT APT A201
KALISPELL, MT59901-4284
 Phone: 406-407-4513
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Social Worker

104100000X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for KEYAWNA J LARSON · (Female)

NPI Number 1023887841
Status Active
Credentials SWLC, ACLC
Entity Individual
Enumeration date 12/20/2023
Last updated 12/21/2025 - About 6 months ago
Sole proprietor 1 Yes
Identifiers
  • MT License # BBH-ACLC-LIC-78632
  • MT License # BBH-SWLC-LIC-68438
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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