| Family Forensic And Clinical Center | |
|
127 County Road C E Little Canada MN 55117-2376 | |
| (651) 335-8219 | |
| Not Available |
| Full Name | Family Forensic And Clinical Center |
|---|---|
| Speciality | Counselor - Professional |
| Location | 127 County Road C E, Little Canada, Minnesota |
| Authorized Official Name and Position | Kathleen Chara (CEO) |
| Authorized Official Contact | 6516365549 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Family Forensic And Clinical Center 2451 Hamline Ave N Roseville MN 55113-3104 Ph: (651) 335-8219 | Family Forensic And Clinical Center 127 County Road C E Little Canada MN 55117-2376 Ph: (651) 335-8219 |
| NPI Number | 1043789357 |
|---|---|
| Provider Enumeration Date | 11/15/2018 |
| Last Update Date | 11/15/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043789357 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
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