Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. JESSE JOSEPH KAULAITY, BSW
Active Sole ProprietorMR. JESSE JOSEPH KAULAITY, BSW is a Addiction (Substance Use Disorder) Counselor healthcare provider located in FORT DEFIANCE, Arizona. NPI 1215223458 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · FORT DEFIANCE, AZ
Registration Details
- NPI Number
- 1215223458
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jun 27, 2011 (15.090500788079 yrs)
- Last Updated
- Jun 27, 2011
- Sole Proprietor
- Yes
Practice Information
- Address
-
CORNER OF ROUTE N12 AND N7FORT DEFIANCE, AZ, 865040649Browse AZ providers · Browse ZIP 86504
- Phone
- 9287298508
- Fax
- 9287298502
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in FORT DEFIANCE, AZ
| Name | Credential | NPI |
|---|---|---|
| BARBARA TODAKONZIE | LISAC | 1568673051 |
| MS. CHERYL MARIA KEE | A.A. | 1972341667 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.