Individual
NOLAN TRAVIS KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
2222 BANCROFT WAY, BERKELEY, CA 94720-4301
(510) 642-9494
Mailing address
1100 E 32ND ST APT 109, AUSTIN, TX 78722-2252
(925) 408-3470
Taxonomy
Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
—
—
Other
Enumeration date
04/17/2021
Last updated
04/17/2021
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