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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