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
Fax: (650) 620-9549
Website:

Health care specialties

SpecialtyCodeLicense #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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