Individual
MS. JENNIFER KAISER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC, PHD
Contact information
Practice address
1251 NILLES RD STE 5, FAIRFIELD, OH 45014-7205
(513) 939-0300
(513) 939-0310
Mailing address
1251 NILLES RD STE 5, FAIRFIELD, OH 45014-7205
(513) 939-0300
(513) 939-0310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
C.1200012
OH
101YM0800X
Mental Health Counselor
C.1200012
OH
101YP2500X
Professional Counselor
Primary
E.1901008
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2341719
—
OH
Enumeration date
06/06/2012
Last updated
02/13/2019
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