Individual
JESSICA A KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LPC, CSAC, CS-IT
Contact information
Practice address
505 BROADWAY ST, BARABOO, WI 53913-2183
(608) 355-4200
(608) 355-4299
Mailing address
PO BOX 29, BARABOO, WI 53913-0029
(608) 355-4200
(608) 355-4299
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16090-132
WI
101YP2500X
Professional Counselor
Primary
5661-125
WI
Other
Enumeration date
03/05/2013
Last updated
03/06/2018
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