Provider Demographics
NPI:1023854585
Name:KANE, RACHEL ANN (MS)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:KANE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:570 NEW WAVERLY PL STE 210
Mailing Address - Street 2:
Mailing Address - City:CARY
Mailing Address - State:NC
Mailing Address - Zip Code:27518-7405
Mailing Address - Country:US
Mailing Address - Phone:919-361-6800
Mailing Address - Fax:
Practice Address - Street 1:3710 UNIVERSITY DR STE 302
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-6203
Practice Address - Country:US
Practice Address - Phone:919-361-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-03
Last Update Date:2024-07-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA20221101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health