Andrea Dawn Kaiser, LCPC

NPI #1053644849 in Rockford, Illinois

Provider Information

NPI Number: 1053644849
Entity Type: Individual
Name: Andrea Dawn Kaiser, LCPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LCPC
Enumeration Date: Sep 10, 2009
Last Updated: Jan 27, 2016

Practice Location

Address: 1021 N MULFORD RD
City: Rockford
State: Illinois
ZIP Code: 61107-3877
Phone: (815) 621-5945

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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