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Mr. Kyle Jeremy Kreske, LAC
Counselor in Hawthorne, New Jersey
NPI 1194415588

Kyle Jeremy Kreske is a Counselor based in Hawthorne, NJ. Kyle Jeremy Kreske practices in Hawthorne, NJ and has the professional credentials of LAC. The NPI Number for Kyle Jeremy Kreske is 1194415588 and holds a License No. 37AC00671100 (New Jersey).

The current practice location address for Kyle Jeremy Kreske is 93 10Th Avenue, Hawthorne, NJ and can be reached out via phone at 201-632-1474 and via fax at 973-907-2691.

Location: 93 10Th Avenue, Hawthorne, NJ, 07506
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194415588
Provider Name
Kyle Jeremy Kreske
Credential
LAC
Provider Entity Type
Individual
Gender
Male
Address
93 10Th Avenue, Hawthorne, NJ, 07506
Phone Number
201-632-1474
Fax Number
973-907-2691
Provider Enumeration Date
05/10/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
93 10Th Avenue
City
Hawthorne
State
New Jersey
Zip
07506
Phone Number
201-632-1474
Fax Number
973-907-2691
person
Provider Business Mailing Address Details
Address
93 10Th Avenue
City
Hawthorne
State
New Jersey
Zip
07506
Phone Number
201-632-1474
Fax Number
973-907-2691
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
37AC00671100 (New Jersey)
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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