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Contact Information

KRISTA K GLEASON, M.A., LAC
160 ROUTE 9
BAYVILLE, NJ08721
 Phone: 732-349-5550
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
Indicates primary specialty

NPI Profile & details for KRISTA K GLEASON · (Female)

NPI # 1215126230
Status Active
Credentials M.A., LAC
Entity Individual
Enumeration date 10/16/2007
Last updated 12/23/2008 - About 17 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 37AC00049200
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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