Kaisner, Mandy J

Kaisner, Mandy J is an individual health care provider with primary practice located at 714 Front St , Leadville CO 80461-3921. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Psychologist. Behavioral Health & Social Service Providers / Professional is her primary health care specialty. Kaisner, Mandy J can be contacted via phone (719) 486-0985.

Contact Information

Primary practice address
714 Front St Leadville CO 80461-3921
Phone: (719) 486-0985
Fax: (719) 486-0986
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 5826 Colorado
Behavioral Health & Social Service Providers / Psychologist 103T00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X 5826

Profile Details

NPI number 1396877692
LBN Legal business name Kaisner, Mandy J
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
Last updated Apr 4th, 2016 - about 10 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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