Individual
MARI ANN KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
404 N MAIN ST STE 612, OSHKOSH, WI 54901-4953
(920) 385-1420
(866) 327-3295
Mailing address
PO BOX 282, BLACK CREEK, WI 54106-0282
(920) 385-5076
(866) 327-3295
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
3465 125
WI
101YP2500X
Professional Counselor
Primary
3465 125
WI
163W00000X
Registered Nurse
106595030
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43595200
—
WI
Enumeration date
02/28/2007
Last updated
12/15/2021
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