Individual
MELISSA KAISER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC LCADC ACS CCS
Contact information
Practice address
104 CANIS DR, BRICK, NJ 08724-3917
(609) 481-1566
Mailing address
104 CANIS DR, BRICK, NJ 08724-3917
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YP2500X
Professional Counselor
Primary
—
—
Other
Enumeration date
10/20/2021
Last updated
10/20/2021
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