Provider Demographics
NPI:1013584879
Name:KANE & ASSOCIATES FAMILY COUNSELING INC.
Entity Type:Organization
Organization Name:KANE & ASSOCIATES FAMILY COUNSELING INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JONATHAN
Authorized Official - Middle Name:SCOT
Authorized Official - Last Name:KANCE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:951-965-8260
Mailing Address - Street 1:5055 CANYON CREST DR STE 203
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92507-6015
Mailing Address - Country:US
Mailing Address - Phone:951-965-8260
Mailing Address - Fax:
Practice Address - Street 1:5055 CANYON CREST DR STE 203
Practice Address - Street 2:
Practice Address - City:RIVERSIDE
Practice Address - State:CA
Practice Address - Zip Code:92507-6015
Practice Address - Country:US
Practice Address - Phone:951-965-8260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-09
Last Update Date:2021-06-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty