Individual
MR. KANE CONNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDP
Contact information
Practice address
1007 KOALA DR, OMAK, WA 98841-9247
(509) 826-6191
(509) 826-3029
Mailing address
1007 KOALA DR, OMAK, WA 98841-9247
(509) 826-6191
(509) 826-3029
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP60345463
WA
Other
Enumeration date
12/04/2016
Last updated
12/19/2024
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