Provider Demographics
NPI:1871354688
Name:KREISS, MARGARET JEANNE (LMHC)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:JEANNE
Last Name:KREISS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:316 FALSTAFF RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14609-5546
Mailing Address - Country:US
Mailing Address - Phone:585-880-2221
Mailing Address - Fax:
Practice Address - Street 1:316 FALSTAFF RD
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14609-5546
Practice Address - Country:US
Practice Address - Phone:585-880-2221
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-01-18
Last Update Date:2024-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY005054101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health