Individual
CHRISTINE JUNE KAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LADAC, LMHC
Contact information
Practice address
118 W 13TH ST, SILVER CITY, NM 88061-5139
(575) 388-1447
(575) 388-1447
Mailing address
425 E SKYVIEW DR, SILVER CITY, NM 88061-3437
(575) 313-5278
(866) 536-4769
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0128881
NM
101YP2500X
Professional Counselor
Primary
0152391
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18677037
—
NM
Enumeration date
03/06/2007
Last updated
02/19/2015
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