Individual
ANDREA DAWN KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCPC
Contact information
Practice address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 621-5945
Mailing address
1021 N MULFORD RD, ROCKFORD, IL 61107-3877
(815) 621-5945
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
22751
IL
101YP2500X
Professional Counselor
Primary
180005739
IL
Other
Enumeration date
09/10/2009
Last updated
01/27/2016
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