| NPI | 1518835362 |
|---|---|
| Other Name | KJ PSYCHOTHERAPY |
| Entity Type | Organization |
| Authorized Contact | KELLY MIKLAS Owner 952-500-1121 |
| Organization Subpart ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Enumeration Date | 2025-10-24 |
| Last Update Date | 2025-10-24 |