Individual
IRVING KRUGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3450 BROADWAY ST, BOULDER, CO 80304-1824
(303) 441-1100
Mailing address
3450 BROADWAY ST, BOULDER, CO 80304-1899
(303) 441-1100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACB.0008092
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
BOULDER COUNTY PUBLI
CO
Other
Enumeration date
06/26/2014
Last updated
07/28/2017
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