Individual provider · Type 1 NPI

Grant Richard Kane, MSW

Mental Health Counselor · Boise, ID

NPI number 1528285376 Active

Practice location

10740 W Fairview Ave Ste 100
Boise, ID 83713-8050

Call (208) 376-0191 Map

Mailing address

8905 West Cornwall Drive
Boise, ID 83704-4310

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XLCSW63 (ID)

Mental Health Counselor: Definition to come...

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About NPI 1528285376

Grant Richard Kane, MSW's National Provider Identifier is 1528285376, issued on Apr 20, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Boise, ID. The record was last updated on Jul 8, 2007.