Provider Demographics
NPI:1306175948
Name:KAJANDER, JUDITH ELAINE
Entity type:Individual
Prefix:
First Name:JUDITH
Middle Name:ELAINE
Last Name:KAJANDER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:JUDY
Other - Middle Name:
Other - Last Name:KAJANDER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW
Mailing Address - Street 1:2 WOODSTONE ST
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77024-6228
Mailing Address - Country:US
Mailing Address - Phone:713-560-6604
Mailing Address - Fax:713-722-9185
Practice Address - Street 1:10190 KATY FWY STE 130
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77043-5245
Practice Address - Country:US
Practice Address - Phone:713-647-0002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-10
Last Update Date:2009-12-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1341-1000101YA0400X
TX011591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)