Individual provider · Type 1 NPI

Jesse Joseph Kaulaity, BSW

Addiction (Substance Use Disorder) Counselor · Fort Defiance, AZ

NPI number 1215223458 Active

Practice location

Corner Of Route N12 And N7
Fort Defiance, AZ 86504-0649

Call (928) 729-8508 Map

Fax (928) 729-8502

Mailing address

PO Box 649
Fort Defiance, AZ 86504-0649

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1215223458

Jesse Joseph Kaulaity, BSW's National Provider Identifier is 1215223458, issued on Jun 27, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fort Defiance, AZ. The record was last updated on Jun 27, 2011.