Individual
MR. DWAYNE ALLEN KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
1621 N MARSHALL WHITE RD, TOMBSTONE, AZ 85638-6114
(520) 678-1115
Mailing address
1621 N MARSHALL WHITE RD, TOMBSTONE, AZ 85638-6114
(520) 678-1115
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
WA
106H00000X
Marriage & Family Therapist
LF61171041
WA
106H00000X
Marriage & Family Therapist
Primary
LMFT-15582
AZ
Other
Enumeration date
09/20/2006
Last updated
03/08/2022
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