Individual
MRS. COURTNEY L KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, SAC-IT
Contact information
Practice address
231 E STATE ST, MAUSTON, WI 53948-1346
(608) 477-9858
Mailing address
N8921 MALLARD DR, NEW LISBON, WI 53950-9490
(608) 433-5051
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
19461
WI
Other
Enumeration date
09/15/2021
Last updated
09/15/2021
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