person
Mr. Jesse Joseph Kaulaity, BSW
Addiction (Substance Use Disorder) Counselor in Fort Defiance, Arizona
NPI 1215223458

Jesse Joseph Kaulaity is an Addiction (Substance Use Disorder) Counselor based in Fort Defiance, AZ and is specialized in Addiction (Substance Use Disorder). Jesse Joseph Kaulaity practices in Fort Defiance, AZ and has the professional credentials of BSW. The NPI Number for Jesse Joseph Kaulaity is 1215223458 and holds a License No. (Arizona).

The current practice location address for Jesse Joseph Kaulaity is Corner Of Route N12 And N7, Fort Defiance, AZ and can be reached out via phone at 928-729-8508 and via fax at 928-729-8502.

Location: Corner Of Route N12 And N7, Fort Defiance, AZ, 86504-0649
person
Provider Profile Details
NPI Number
1215223458
Provider Name
Jesse Joseph Kaulaity
Credential
BSW
Provider Entity Type
Individual
Gender
Male
Address
Corner Of Route N12 And N7, Fort Defiance, AZ, 86504-0649
Phone Number
928-729-8508
Fax Number
928-729-8502
Provider Enumeration Date
06/27/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
Corner Of Route N12 And N7
City
State
Zip
86504-0649
Phone Number
928-729-8508
Fax Number
928-729-8502
person
Provider Business Mailing Address Details
Address
Corner Of Route N12 And N7
City
State
Zip
86504-0649
Phone Number
928-729-8508
Fax Number
928-729-8502
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
()
Definition
Definition to come...
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