Provider Demographics
NPI:1619298619
Name:JOINING HANDS CHILD AND FAMILY COUNSELING SERVICES, LLC
Entity Type:Organization
Organization Name:JOINING HANDS CHILD AND FAMILY COUNSELING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHILD/FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:JUNE-MCVAY
Authorized Official - Last Name:KANE
Authorized Official - Suffix:
Authorized Official - Credentials:LICSW
Authorized Official - Phone:612-234-2719
Mailing Address - Street 1:3242 14TH AVE
Mailing Address - Street 2:
Mailing Address - City:ANOKA
Mailing Address - State:MN
Mailing Address - Zip Code:55303-1326
Mailing Address - Country:US
Mailing Address - Phone:612-234-2719
Mailing Address - Fax:
Practice Address - Street 1:3242 14TH AVE
Practice Address - Street 2:
Practice Address - City:ANOKA
Practice Address - State:MN
Practice Address - Zip Code:55303-1326
Practice Address - Country:US
Practice Address - Phone:612-234-2719
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-14
Last Update Date:2010-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NA251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health