Doctor Name: | JANELLE M KASSIEN |
NPI Number: | 1043651649 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LMSW |
License Number: | 6801089326 |
Business Practice Address: | 800 Livingston Blvd Suite B Gaylord, MI - 497358351 |
Business Phone Number: | 9897326292 |
Business Fax Number: | 9897320780 |
Mailing Address: | 11525 Us Highway 31 N, CHARLEVOIX |
State: | MI |
Postal Code: | 497209021 |
Phone Number: | 2318810375 |
Fax Number: | |
NPI Enumeration Date: | 07/11/2013 |
NPI Last Update Date: | 07/11/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 6801089326 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |