Individual
STACIE KREIGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
4518 W TILL RD, FORT WAYNE, IN 46818-9389
(260) 438-9838
Mailing address
625 111TH AVE N, NAPLES, FL 34108-1825
(260) 438-9838
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MH13531
FL
Other
Enumeration date
03/06/2017
Last updated
03/06/2017
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