Kriso, Kevin

Kriso, Kevin is an individual health care provider with primary practice located at 4700 Long Beach Blvd , Long Beach Township NJ 08008-3926. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Kriso, Kevin can be contacted via phone (609) 494-1554.

Contact Information

Primary practice address
4700 Long Beach Blvd Long Beach Township NJ 08008-3926
Phone: (609) 494-1554
Fax: (609) 361-9653
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 37PC00313800 New Jersey

Profile Details

NPI number 1376676288
LBN Legal business name Kriso, Kevin
Credentials Licensed Professional Counselor (LPC)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 13th, 2007
Last updated Oct 8th, 2007 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1376676288 NPPES
New Jersey MEDICAID 0094251

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