Individual
REBEKAH JASMIN KRUZEL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
3134 NILES RD ST. C, SAINT JOSEPH, MI 49085-8652
(269) 408-8235
Mailing address
1975 ELM TER, BENTON HARBOR, MI 49022-7127
(269) 208-4460
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6801096308
MI
Other
Enumeration date
09/13/2016
Last updated
10/07/2016
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