Organization
KJ PSYCHOTHERAPY & INTENSIVES LLC
Active
Other names
KJ Psychotherapy
Organization subpart
No
Provider details
NPI number
Authorized official
KELLY MIKLAS LPCC (OWNER)
(952) 500-1121
Entity
Organization
Contact information
Practice address
1512 27TH AVE NE, MINNEAPOLIS, MN 55418-3035
(952) 500-1121
Mailing address
1512 27TH AVE NE, MINNEAPOLIS, MN 55418-3035
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/24/2025
Last updated
10/24/2025
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