Doctor Name: | JULIE KAISER |
NPI Number: | 1164713152 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | BHA-I |
License Number: | 11-046-BHA I |
Business Practice Address: | 3449 E Rezanof Dr Kodiak, AK - 996156952 |
Business Phone Number: | 9074869800 |
Business Fax Number: | 9074869898 |
Mailing Address: | 3449 E Rezanof Dr, KODIAK |
State: | AK |
Postal Code: | 996156952 |
Phone Number: | 9074869800 |
Fax Number: | 9074869898 |
NPI Enumeration Date: | 04/25/2011 |
NPI Last Update Date: | 04/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 11-046-BHA I |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | AK |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |