Individual
MRS. KRISTINA BREITLING KRUG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
NCPS, CRPS
Contact information
Practice address
1735 MOSS CREEK DR, FLEMING ISLAND, FL 32003-8348
(904) 646-6392
Mailing address
1735 MOSS CREEK DR, FLEMING ISLAND, FL 32003-8348
(904) 646-6392
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
—
—
175T00000X
Peer Specialist
549
FL
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
11/28/2018
Last updated
01/25/2019
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