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Individual
KRISTINA ELISE IRESON
Active
Individual
KRISTINA ELISE IRESON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW 80918
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
80918
CA
1041C0700X
Clinical Social Worker
Primary
80918
CA
1041S0200X
School Social Worker
PPS
CA
Other
Enumeration date
09/24/2013
Last updated
04/15/2025
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