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NPI Code Detail

MEDICARE: KRISTEN E DECEGLIE

MEDICARE:   KRISTEN E DECEGLIE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor
2101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1669103792
Entity Type Code : Individual
Provider Name (Legal Business Name) : KRISTEN E DECEGLIE
Provider Business Mailing Address
First Line : 266 SILVER BAY RD
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08753-2446
Country : US
Telephone Number : 201-655-1931
Fax Number :
Provider Business Practice Location Address
First Line : 266 SILVER BAY RD
Second Line :
City : TOMS RIVER
State : NJ
Zip : 08753-2446
Country : US
Telephone Number : 201-655-1931
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/20/2022
Last Update Date : 03/26/2023

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Directions to “ KRISTEN E DECEGLIE ” Practice Location

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