Provider / Organization | NPI | Date Certified |
---|---|---|
KENNA MARIE FITZPATRICK | 1801479456 | 2021-05-03 |
Kenna Marie Fitzpatrick is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1801479456. Registration indicates Kenna Marie Fitzpatrick is a provider of access to mental health/behavioral health providers services with a specialization in Behavioral Health & Social Service Providers, Social Worker (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers) Access to Mental Health/Behavioral Health Providers (Behavioral Health & Social Service Providers, Social Worker) (Behavioral Health & Social Service Providers, Social Worker) (Social Worker, ) (Behavioral Health/Substance Abuse/Psychiatry, ) (Social Worker, Behavioral Health & Social Service Providers)
Entity Type | Individual |
Provider Name | Kenna Marie Fitzpatrick LGSW |
Practice Office Address | 43 SE MAIN ST STE 226 MINNEAPOLIS, MN US |
Practice Office Telephone | 6123249001 |
Mailing Address | 7608 HEARTHSIDE WAY APT 4019 ELKRIDGE, MD 210757366 US |
Business Telephone | 4439750941 |
Other URL [Website URL] | www.starhauspsychotherapy.com | Direct |
Code | Practice | License No State |
---|---|---|
104100000X | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | 25319
MD |
104100000X PRIMARY | Access to Mental Health/Behavioral Health Providers Behavioral Health & Social Service Providers Social Worker Behavioral Health & Social Service Providers Social Worker Social Worker Behavioral Health/Substance Abuse/Psychiatry Social Worker Behavioral Health & Social Service Providers | 29763
MN |