Individual
LISA M. KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CRC
Contact information
Practice address
3150 GERSHWIN DR, GREEN BAY, WI 54311-4328
(920) 391-4740
(920) 391-4731
Mailing address
1592 GRANVILLE PIKE, LANCASTER, OH 43130-1076
(740) 687-0835
(740) 687-9391
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4392-125
WI
101YP2500X
Professional Counselor
C0501305
OH
225C00000X
Rehabilitation Counselor
00090636
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100010986
—
WI
Enumeration date
08/01/2007
Last updated
07/07/2022
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