Individual
BRUCE JOSEPH KANE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 BERTHA RD STE B, TAOS, NM 87571-7148
(575) 758-4297
Mailing address
9204 SIDREAUX LOOP NW, ALBUQUERQUE, NM 87114-6571
(615) 670-6828
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
07/16/2024
Last updated
01/12/2026
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