Individual
ALISON GRACE KRUCKENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
7495 W 29TH AVE, WHEAT RIDGE, CO 80033-8002
(303) 761-2153
Mailing address
7495 W 29TH AVE, WHEAT RIDGE, CO 80033-8002
(303) 761-2153
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
246YR1600X
Registered Record Administrator
—
—
Other
Enumeration date
06/30/2017
Last updated
08/23/2024
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