| Mr Jesse Joseph Kaulaity, BSW | |
|
Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 | |
| (928) 729-8508 | |
| (928) 729-8502 |
| Full Name | Mr Jesse Joseph Kaulaity |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | Corner Of Route N12 And N7, Fort Defiance, Arizona |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215223458 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Jesse Joseph Kaulaity, BSW Po Box 649, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8508 | Mr Jesse Joseph Kaulaity, BSW Corner Of Route N12 And N7, Fort Defiance, AZ 86504-0649 Ph: (928) 729-8508 |
Mrs. Loretta Notah-ashley, Counselor Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 & N7, Phs Fort Defiance Indian Hospital, Fort Defiance, AZ 86504 Phone: 928-729-8944 Fax: 928-729-8502 | |
Russell Buford, LP Counselor Medicare: Medicare Enrolled Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Mr. Gary S Davis, Counselor Medicare: Not Enrolled in Medicare Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-3741 Fax: 928-729-8943 | |
Ms. Luciana Jessica Gorman, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: Corner Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-5800 Fax: 928-729-8502 | |
Ms. Samantha Gwen Lee, LMSW, LASAC Counselor Medicare: Accepting Medicare Assignments Practice Location: Corner Of Route N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8000 | |
Daniel J Huyser, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: Corner Of Rt. N12 And N7, Fort Defiance, AZ 86504 Phone: 928-729-8518 |