Individual
MR. KEVIN CHRISTOPHER KROUSE I
Active
Individual
MR. KEVIN CHRISTOPHER KROUSE I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-II, DOT/SAP
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
821045
MI
172V00000X
Community Health Worker
Primary
A044070417
CA
Other
Enumeration date
02/05/2009
Last updated
03/03/2025
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