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Individual

KIMBERLY KRUSE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MFT 88539, MFT15448

Contact information

Practice address
3225 N JACKRABBIT LN, FLAGSTAFF, AZ 86001
(818) 493-1655
Mailing address
2532 N 4TH ST # 271, FLAGSTAFF, AZ 86004-3712
(818) 493-1655

Taxonomy

Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
15448
AZ
106H00000X
Marriage & Family Therapist
88539
CA

Other

Enumeration date
08/17/2016
Last updated
10/24/2022
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