| Doctor Name: | MR. GERARD DANIEL KANE |
| NPI Number: | 1023306552 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSW, C-CATODSW, LADC |
| License Number: | 000666 |
| Business Practice Address: | 46 Danbury Rd Suite 2 New Milford, CT - 067763403 |
| Business Phone Number: | 8603551122 |
| Business Fax Number: | 8603551122 |
| Mailing Address: | 46 Danbury Rd, Suite 2 NEW MILFORD |
| State: | CT |
| Postal Code: | 067763403 |
| Phone Number: | 8603551122 |
| Fax Number: | 8603551122 |
| NPI Enumeration Date: | 07/19/2011 |
| NPI Last Update Date: | 07/19/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000666 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |