Kane, Carrie Jean

Kane, Carrie Jean is an individual health care provider with primary practice located at 1017 S Laguna Ave , Parker AZ 85344-4945. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Kane, Carrie Jean can be contacted via phone (928) 669-6906.

Contact Information

Primary practice address
1017 S Laguna Ave Parker AZ 85344-4945
Fax: (928) 669-6909
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LPC-10875 Arizona

Profile Details

NPI number 1760419535
LBN Legal business name Kane, Carrie Jean
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 27th, 2006
Last updated May 21st, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1760419535 NPPES
Arizona MEDICAID 797459

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