Provider Demographics
NPI:1144691544
Name:KANE, ANNE (LMSWCC)
Entity type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:KANE
Suffix:
Gender:F
Credentials:LMSWCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:128 SWEDEN ST STE 1
Mailing Address - Street 2:
Mailing Address - City:CARIBOU
Mailing Address - State:ME
Mailing Address - Zip Code:04736-2071
Mailing Address - Country:US
Mailing Address - Phone:207-328-4347
Mailing Address - Fax:
Practice Address - Street 1:128 SWEDEN ST STE 1
Practice Address - Street 2:
Practice Address - City:CARIBOU
Practice Address - State:ME
Practice Address - Zip Code:04736-2071
Practice Address - Country:US
Practice Address - Phone:207-328-4347
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-10-12
Last Update Date:2015-10-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEMC15748101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional