Individual provider · Type 1 NPI

Stacey Marie Kane

Professional Counselor · San Diego, CA

NPI number 1770146383 Active

Practice location

4309 3rd Ave
San Diego, CA 92103-1407

Call (619) 876-4502 Map

Mailing address

673 S Auburn St
Grass Valley, CA 95945-7576

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Professional Counselor Primary 101YP2500XLPCC15851 (CA)

Professional Counselor: Definition to come...

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About NPI 1770146383

Stacey Marie Kane's National Provider Identifier is 1770146383, issued on Apr 18, 2019. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in San Diego, CA. The record was last updated on Jun 11, 2026.