Individual
MS. CASSANDRA GOLDEN KRUSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LISW-S
Contact information
Practice address
1445 NORTH SCOTT STREET, #620, NAPOLEON, OH 43545-1049
(419) 592-4357
Mailing address
G393 COUNTY ROAD II, HAMLER, OH 43524-8701
(419) 592-4357
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LE.00021539
OH
1041C0700X
Clinical Social Worker
Primary
I.500200
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
222661
—
OH
Enumeration date
08/25/2015
Last updated
06/10/2021
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