Kaiser, Andrea Dawn

Kaiser, Andrea Dawn is an individual health care provider with primary practice located at 1021 N Mulford Rd , Rockford IL 61107-3877. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kaiser, Andrea Dawn can be contacted via phone (815) 621-5945.

Contact Information

Primary practice address
1021 N Mulford Rd Rockford IL 61107-3877
Phone: (815) 621-5945
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 22751 Illinois
Behavioral Health & Social Service Providers / Professional 101YP2500X 180005739 Illinois

Profile Details

NPI number 1053644849
LBN Legal business name Kaiser, Andrea Dawn
Credentials LCPC
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 10th, 2009
Last updated Jan 27th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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