Individual
BRANDY KRUEG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2316 AVOCET CT, ELK GROVE, CA 95757-8134
(916) 215-8957
Mailing address
2316 AVOCET CT, ELK GROVE, CA 95757-8134
(916) 215-8957
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCSW108683
CA
Other
Enumeration date
08/11/2022
Last updated
08/11/2022
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