Provider Demographics
NPI:1326588211
Name:KISER COUNSELING, INC
Entity Type:Organization
Organization Name:KISER COUNSELING, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:BETHANY
Authorized Official - Middle Name:
Authorized Official - Last Name:KISER
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:970-250-4686
Mailing Address - Street 1:518 28 RD STE B203
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81501-6559
Mailing Address - Country:US
Mailing Address - Phone:970-812-3162
Mailing Address - Fax:844-451-3838
Practice Address - Street 1:518 28 RD STE B203
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-6559
Practice Address - Country:US
Practice Address - Phone:970-812-3162
Practice Address - Fax:844-451-3838
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-27
Last Update Date:2018-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO13433251S00000X
NE1066101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty