Provider Demographics
NPI:1659037778
Name:KAISER, JOSEPH III (MA LMHC)
Entity Type:Individual
Prefix:
First Name:JOSEPH
Middle Name:
Last Name:KAISER
Suffix:III
Gender:M
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2463 AAPI PL
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-1002
Mailing Address - Country:US
Mailing Address - Phone:716-607-1236
Mailing Address - Fax:
Practice Address - Street 1:2463 AAPI PL
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-1002
Practice Address - Country:US
Practice Address - Phone:716-607-1236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-11-12
Last Update Date:2021-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002560101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health