# KIMBERLY KRUSE

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1750836912
- **Gender:** F
- **Credential:** MFT 88539, MFT15448

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | 15448 | AZ | Yes |
| 106H00000X | Marriage & Family Therapist | 88539 | CA | — |

## Other

- **Enumeration date:** 08/17/2016
- **Last updated:** 10/24/2022