Individual
DESMOND ALEXANDER KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC,NCC,CACD, CIP
Contact information
Practice address
3939 W RIDGE RD STE A204, ERIE, PA 16506-1884
(814) 449-6264
(814) 866-6840
Mailing address
3939 W RIDGE RD STE A204, ERIE, PA 16506-1884
(814) 449-6264
(814) 286-6840
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
PC014361
PA
101YM0800X
Mental Health Counselor
PC014361
PA
101YP2500X
Professional Counselor
Primary
PC014361
PA
Other
Enumeration date
04/03/2022
Last updated
04/03/2022
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