Individual
SMITH DEBREY KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MA, LMHC
Contact information
Practice address
4569 KUKUI ST STE 201, KAPAA, HI 96746-1775
(541) 728-3052
Mailing address
1110 NE JONES RD, BEND, OR 97701-3922
(808) 631-5731
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1756-13
—
101YM0800X
Mental Health Counselor
Primary
MHC-375
HI
Other
Enumeration date
07/18/2012
Last updated
03/05/2025
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