Doctor Name: | MR. TOM KAISER |
NPI Number: | 1881919595 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCPC |
License Number: | 180.001932 |
Business Practice Address: | 1307 W Main St Marion, IL - 629591139 |
Business Phone Number: | 6189975336 |
Business Fax Number: | 6189932969 |
Mailing Address: | 500 S 8th St, HERRIN |
State: | IL |
Postal Code: | 629483920 |
Phone Number: | 6189975336 |
Fax Number: | 6189932969 |
NPI Enumeration Date: | 04/06/2010 |
NPI Last Update Date: | 04/06/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 180.001932 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
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 |