Individual
JESSICA JEAN KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LLPC
Contact information
Practice address
2160 HAMILTON RD, SUITE C, OKEMOS, MI 48864-1774
(517) 420-1417
Mailing address
2160 HAMILTON RD, SUITE C, OKEMOS, MI 48864-1774
(517) 420-1417
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6401011950
MI
Other
Enumeration date
06/29/2010
Last updated
06/29/2010
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