Individual
JARED KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPCC-S
Contact information
Practice address
4936 OLD IRWIN SIMPSON RD, MASON, OH 45040-9751
(513) 649-7458
Mailing address
1879 DEERFIELD RD, LEBANON, OH 45036-8602
(513) 695-2726
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
C.1100451
OH
101YP2500X
Professional Counselor
Primary
E.1100451-SUPV
OH
Other
Enumeration date
10/19/2012
Last updated
08/14/2019
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