Bazelais, Kisha Nicole

Bazelais, Kisha Nicole is an sole proprietor health care provider with primary practice located at 275 North St , Harrison NY 10528-1140. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counseling, Behavioral Health & Social Service Providers / Adult Development & Aging. Behavioral Health & Social Service Providers / Counseling is her primary health care specialty. Bazelais, Kisha Nicole can be contacted via phone (914) 925-5489.

Contact Information

Primary practice address
275 North St Harrison NY 10528-1140
Phone: (914) 925-5489
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counseling 103TC1900X 020128 New York
Behavioral Health & Social Service Providers / Adult Development & Aging 103TA0700X 020128 New York

Profile Details

NPI number 1841637063
LBN Legal business name Bazelais, Kisha Nicole
Credentials PHD
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 29th, 2013
Last updated Sep 29th, 2013 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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