Individual
AMY ELLEN KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2417 1/2 WALGROVE AVE, LOS ANGELES, CA 90066-4134
(310) 779-3674
Mailing address
2417 1/2 WALGROVE AVE, LOS ANGELES, CA 90066-4134
(310) 779-3674
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
LMFT52313
CA
Other
Enumeration date
10/13/2019
Last updated
10/13/2019
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