Provider Demographics
NPI:1134365539
Name:KANE, SAUNDRA ELAINE (LMFT)
Entity type:Individual
Prefix:MS
First Name:SAUNDRA
Middle Name:ELAINE
Last Name:KANE
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MISS
Other - First Name:SANDRA
Other - Middle Name:ELAINE
Other - Last Name:LEVY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT
Mailing Address - Street 1:2431 W MARCH LN
Mailing Address - Street 2:SUITE 210
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-8211
Mailing Address - Country:US
Mailing Address - Phone:209-957-2676
Mailing Address - Fax:209-957-2587
Practice Address - Street 1:2431 W MARCH LN
Practice Address - Street 2:SUITE 210
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-8211
Practice Address - Country:US
Practice Address - Phone:209-957-2676
Practice Address - Fax:209-957-2587
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-06
Last Update Date:2009-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 15377106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist