Doctor Name: | KAIJA REISS |
NPI Number: | 1043227457 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, BAS |
License Number: | 1993B |
Business Practice Address: | 5001 Westbank Expressway Marrero, LA - 70072 |
Business Phone Number: | 5043498708 |
Business Fax Number: | 5048385714 |
Mailing Address: | 3300 West Esplanade Ave, Suite 213 METAIRIE |
State: | LA |
Postal Code: | 70002 |
Phone Number: | 5048385716 |
Fax Number: | 5048385714 |
NPI Enumeration Date: | 08/01/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 1993B |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | LA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |