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Organization
KANAAN THERAPY AND BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization
KANAAN THERAPY AND BEHAVIORAL HEALTH SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY ADLI KANAAN LPC (OWNER/PARTNER)
(269) 815-8168
Entity
Organization
Contact information
Practice address
816 EAST MICHIGAN AVENUE, SUITE 103, PAW PAW, MI 49079-9510
(269) 815-8168
Mailing address
816 EAST MICHIGAN AVENUE, SUITE 103, PAW PAW, MI 49079-9510
(269) 815-8168
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6401012892
MI
1041C0700X
Clinical Social Worker
6801092614
MI
Other
Enumeration date
05/29/2017
Last updated
02/20/2020
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