Individual provider · Type 1 NPI

Kyle Jeremy Kreske, LAC

Counselor · Hawthorne, NJ

NPI number 1194415588 Active

Practice location

93 10th Avenue
Hawthorne, NJ 07506

Fax (973) 907-2691

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000X37AC00671100 (NJ)

Counselor: 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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About NPI 1194415588

Kyle Jeremy Kreske, LAC's National Provider Identifier is 1194415588, issued on May 10, 2023. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Hawthorne, NJ. The record was last updated on May 10, 2023.