Organization · Type 2 NPI
Kanaan Therapy and Behavioral Health Services, LLC
Mental Health Counselor · Paw Paw, MI
NPI number
1174051619
Active
Practice location
816 East Michigan Avenue, Suite 103
Paw Paw, MI 49079-9510
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 6401012892 (MI) |
| Clinical Social Worker | 1041C0700X | 6801092614 (MI) |
Mental Health Counselor: Definition to come...
About NPI 1174051619
Kanaan Therapy and Behavioral Health Services, LLC's National Provider Identifier is 1174051619, issued on May 29, 2017. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Paw Paw, MI. The record was last updated on Feb 20, 2020.