Provider Demographics
NPI:1649344623
Name:CANE ILANG, ADRIENNE (MA)
Entity type:Individual
Prefix:MRS
First Name:ADRIENNE
Middle Name:
Last Name:CANE ILANG
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 S AMPHLETT BLVD STE 220K
Mailing Address - Street 2:
Mailing Address - City:SAN MATEO
Mailing Address - State:CA
Mailing Address - Zip Code:94402-2713
Mailing Address - Country:US
Mailing Address - Phone:650-743-4180
Mailing Address - Fax:
Practice Address - Street 1:1720 S AMPHLETT BLVD STE 220K
Practice Address - Street 2:
Practice Address - City:SAN MATEO
Practice Address - State:CA
Practice Address - Zip Code:94402-2713
Practice Address - Country:US
Practice Address - Phone:650-743-4180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-20
Last Update Date:2023-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health