Individual
JODY L KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
15655 W COUNTY RD B, HAYWARD, WI 54843-2680
(715) 634-0607
(715) 634-0617
Mailing address
PO BOX 13251, HAYWARD, WI 54843-3251
(715) 634-0607
(715) 634-0617
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
40995300
—
WI
Enumeration date
05/23/2007
Last updated
10/18/2010
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