Mandy J Kaisner, LPC

NPI #1396877692 in Leadville, Colorado

Provider Information

NPI Number: 1396877692
Entity Type: Individual
Name: Mandy J Kaisner, LPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: LPC
Enumeration Date: Mar 12, 2007
Last Updated: Apr 4, 2016

Practice Location

Address: 714 FRONT ST
City: Leadville
State: Colorado
ZIP Code: 80461-3921
Phone: (719) 486-0985

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Professional — Professional	101YP2500X	Primary
Psychologist	103T00000X

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Organizations

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