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Provider Information for 1659037778


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JOSEPH KAISER III MA LMHC


Sex: Male

NPI: 1659037778
Last Updated: 2021-11-12
Certification Date: 2021-11-12

Details

NameValue
NPI1659037778
Enumeration Date2021-11-12
NPI TypeNPI-1 Individual
Sole ProprietorYES
StatusActive
Mailing Address 2463 AAPI PL
PEARL CITY, HI 96782-1002
United States

Phone: 716-607-1236 | Fax:
 
Primary Practice Address 2463 AAPI PL
PEARL CITY, HI 96782-1002
United States

Phone: 716-607-1236 | Fax:
 
Secondary Practice Address(es)
Health Information Exchange
Endpoint TypeEndpointEndpoint DescriptionUseContent TypeAffiliationEndpoint Location
Other Identifiers
IssuerStateNumberOther Issuer
Taxonomy
Primary TaxonomySelected TaxonomyStateLicense Number
Yes 101YM0800X - Counselor - Mental HealthNY002560