Organization
FAMILY FORENSIC AND CLINICAL CENTER
Active
Other names
Family Forensics
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHLEEN CHARA PH.D (CEO)
(651) 636-5549
Entity
Organization
Contact information
Practice address
127 COUNTY ROAD C E, LITTLE CANADA, MN 55117-2376
(651) 335-8219
Mailing address
2451 HAMLINE AVE N, ROSEVILLE, MN 55113-3104
(651) 335-8219
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
11/15/2018
Last updated
11/15/2018
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