Doctor Name: | PETER L KANE |
NPI Number: | 1043482201 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | RC |
License Number: | 00017449 |
Business Practice Address: | 16710 Ne 79th St Ste 202 Redmond, WA - 980524466 |
Business Phone Number: | 4258022050 |
Business Fax Number: | |
Mailing Address: | 16710 Ne 79th St Ste 202, REDMOND |
State: | WA |
Postal Code: | 980524466 |
Phone Number: | 4258022050 |
Fax Number: | |
NPI Enumeration Date: | 03/27/2008 |
NPI Last Update Date: | 03/27/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 00017449 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |