Individual
JON KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
759 COLUMBUS AVE, LEBANON, OH 45036-1754
(513) 932-6750
Mailing address
759 COLUMBUS AVE, LEBANON, OH 45036-1754
(513) 932-4337
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
C.1400093
OH
Other
Enumeration date
06/16/2015
Last updated
06/16/2015
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