Provider Demographics
NPI:1255150447
Name:GARIBALDI, KAILEE MURAII (MA, CAGS, NCSP)
Entity type:Individual
Prefix:
First Name:KAILEE
Middle Name:MURAII
Last Name:GARIBALDI
Suffix:
Gender:F
Credentials:MA, CAGS, NCSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:307 GREENWICH AVE APT E303
Mailing Address - Street 2:
Mailing Address - City:WARWICK
Mailing Address - State:RI
Mailing Address - Zip Code:02886-1699
Mailing Address - Country:US
Mailing Address - Phone:860-560-3727
Mailing Address - Fax:
Practice Address - Street 1:307 GREENWICH AVE APT E303
Practice Address - Street 2:
Practice Address - City:WARWICK
Practice Address - State:RI
Practice Address - Zip Code:02886-1699
Practice Address - Country:US
Practice Address - Phone:860-560-3727
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-07
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor