Individual
COLLEEN KANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1801 ROUTE 539, WHITING, NJ 08759-3336
(732) 716-0700
(732) 716-0934
Mailing address
PO BOX 2036, LAKEWOOD, NJ 08701-8036
(732) 716-0700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002980
—
NJ
Enumeration date
09/14/2022
Last updated
09/14/2022
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