Doctor Name: | CHRISTINE JUNE KAISER |
NPI Number: | 1205966652 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LADAC, LMHC |
License Number: | 0128881 |
Business Practice Address: | 118 W 13th St Silver City, NM - 880615139 |
Business Phone Number: | 5753881447 |
Business Fax Number: | 5753881447 |
Mailing Address: | 425 E Skyview Dr, SILVER CITY |
State: | NM |
Postal Code: | 880613437 |
Phone Number: | 5753135278 |
Fax Number: | 8665364769 |
NPI Enumeration Date: | 03/06/2007 |
NPI Last Update Date: | 02/19/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 0128881 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NM |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |