Individual
JOHN KRUCKENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
15 E SOUTHRIDGE RD, MARSHALLTOWN, IA 50158-4550
(641) 351-4003
(641) 351-4869
Mailing address
15 E SOUTHRIDGE RD, MARSHALLTOWN, IA 50158-4550
(641) 351-4003
(641) 351-4869
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/24/2024
Last updated
07/24/2024
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