Individual
LEA KRUEGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADCII, QMHP
Contact information
Practice address
4422 NE DEVILS LAKE BLVD, LINCOLN CITY, OR 97367-5000
(541) 265-4947
(541) 994-0261
Mailing address
36 SW NYE ST, NEWPORT, OR 97365-3821
(541) 265-4179
(541) 265-4194
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
17-02-19
OR
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
09/22/2014
Last updated
03/17/2018
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