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Individual
JESSE JOHN KRUSE
Active
Individual
JESSE JOHN KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
109413
CA
1041C0700X
Clinical Social Worker
ACSW109413
CA
1041C0700X
Clinical Social Worker
Primary
LCSW129982
CA
Other
Enumeration date
08/23/2022
Last updated
05/16/2025
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