Ireson, Kristina Elise
Ireson, Kristina Elise is an individual health care provider with primary practice located at 957 Industrial Rd Ste B , San Carlos CA 94070-4152. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / School, Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Ireson, Kristina Elise can be contacted via phone (650) 832-6900.Contact Information
Primary practice address
957 Industrial Rd Ste B
San Carlos CA 94070-4152
Phone: (650) 832-6900
Fax: (650) 620-9549
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / School | 1041S0200X | PPS | California |
Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 80918 | California |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 80918 | California |
Profile Details
NPI number | 1437585296 |
---|---|
LBN Legal business name | Ireson, Kristina Elise |
Credentials | LCSW 80918 |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 24th, 2013 |
Last updated | Jun 11th, 2018 - about 6 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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