Individual
COLLEEN KRUSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMSW
Contact information
Practice address
330 W MICHIGAN AVE, JACKSON, MI 49201-2121
(517) 787-7920
(517) 787-2440
Mailing address
2612 PATRICIA CT, ANN ARBOR, MI 48103-2647
(517) 787-7920
(517) 787-2440
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
6801033139
MI
Other
Enumeration date
03/06/2007
Last updated
07/08/2007
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