Individual
STACEY KRUEGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028-1621
(602) 492-8948
(480) 542-2103
Mailing address
11811 N TATUM BLVD STE 3031, PHOENIX, AZ 85028-1621
(602) 492-8948
(480) 542-2103
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-22793
AZ
Other
Enumeration date
07/25/2021
Last updated
05/27/2026
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