Provider Demographics
NPI:1457103202
Name:KALEKAS, KAYTLIN LEIGH (CADC-I)
Entity Type:Individual
Prefix:
First Name:KAYTLIN
Middle Name:LEIGH
Last Name:KALEKAS
Suffix:
Gender:F
Credentials:CADC-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9498 DOUBLE R BLVD
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89521-6025
Mailing Address - Country:US
Mailing Address - Phone:775-964-4898
Mailing Address - Fax:
Practice Address - Street 1:9498 DOUBLE R BLVD
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89521-6025
Practice Address - Country:US
Practice Address - Phone:775-964-4898
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-04
Last Update Date:2024-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV07556101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)