Individual
MS. CARRIE JEAN KANE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
2090 SMOKETREE AVE N, LAKE HAVASU CITY, AZ 86403-5806
(928) 854-1800
Mailing address
PO BOX 1261, TUCSON, AZ 85702-1261
(520) 670-3909
(520) 309-2560
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-10875
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
797459
—
AZ
Enumeration date
06/27/2006
Last updated
04/24/2026
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