Individual
MS. KATHLEEN OLIVIA JANIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., LPCC, EMDR
Contact information
Practice address
2647 320TH ST, WAUBUN, MN 56589-9009
(218) 209-2434
Mailing address
2647 320TH ST, WAUBUN, MN 56589-9009
(218) 209-2434
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00032
MN
Other
Enumeration date
09/09/2008
Last updated
08/29/2024
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