Organization
ON WINGS LIKE EAGLES, LLC
Active
Other names
Edward G. Kruis, LPCC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. EDWARD G KRUIS LPCC (OWNER)
(575) 650-0071
Entity
Organization
Contact information
Practice address
1445 PECOS, LAS CRUCES, NM 88005
(575) 650-0071
Mailing address
1801 LAS TUNAS DR, LAS CRUCES, NM 88011-4956
(575) 650-0071
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
0106801
NM
101YP2500X
Professional Counselor
Primary
0078221
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
94876860
—
NM
Enumeration date
04/03/2008
Last updated
04/03/2008
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