Individual
MS. JACQUELYN C KRUSE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.S. L.C.P.C.
Contact information
Practice address
1814 GRANDSTAND PLACE, ELGIN, IL 60123-4981
(847) 622-0002
(847) 622-0002
Mailing address
19N109 SLEEPY HOLLOW RD, DUNDEE, IL 60118-9235
(847) 426-8376
(847) 426-8376
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
IL
Other
Enumeration date
04/17/2007
Last updated
07/08/2007
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