Individual
KRISTEN NICOLE GLAESER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCMHC-A. LCAS-A, NCC
Contact information
Practice address
5755 SHATTALON DR, WINSTON SALEM, NC 27105-1332
(336) 448-2628
Mailing address
2563 NC HIGHWAY 65, REIDSVILLE, NC 27320-9311
(336) 552-5210
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
1726249
NC
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28881
NC
101YM0800X
Mental Health Counselor
A18802
NC
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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