Organization
CHILD FAMILY SPECIALTY CLINIC, P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JEANNIE GILFIX (CFO)
(612) 821-1920
Entity
Organization
Contact information
Practice address
4826 CHICAGO AVENUE SOUTH, STE 206, MINNEAPOLIS, MN 55417
(612) 821-1920
Mailing address
4826 CHICAGO AVENUE SOUTH, STE 206, MINNEAPOLIS, MN 55417
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00215
MN
1041C0700X
Clinical Social Worker
15301
MN
1041C0700X
Clinical Social Worker
9839
MN
106H00000X
Marriage & Family Therapist
1075
MN
Other
Enumeration date
05/03/2007
Last updated
09/11/2025
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