Kanda Therapy INC

NPI #1184382566 in Mokena, Illinois

Provider Information

NPI Number: 1184382566
Entity Type: Organization
Organization Name: Kanda Therapy INC
Primary Specialty: Social Worker - Clinical
Enumeration Date: Dec 2, 2021
Last Updated: Feb 27, 2023

Practice Location

Address: 9200 W 191ST ST STE 6
City: Mokena
State: Illinois
ZIP Code: 60448-8730
Phone: (815) 421-9131

Authorized Official

Name: KRISTA RAATJES, LCSW, RPLAYTHERAPIST
Title: PRESIDENT, LCSW
Phone: (815) 421-9131

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Clinic/Center - Adult Mental Health — Adult Mental Health	261QM0850X
Clinic/Center - Adolescent and Children Mental Health — Adolescent and Children Mental Health	261QM0855X
Social Worker - Clinical — Clinical	1041C0700X	Primary

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