| Doctor Name: | MS. JEAN LESLIE KRUGER |
| NPI Number: | 1033431010 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M. A. , LMHC |
| License Number: | MH30002352 |
| Business Practice Address: | 3080 Lower Elwha Road Port Angeles, WA - 98363 |
| Business Phone Number: | 3604528471 |
| Business Fax Number: | |
| Mailing Address: | 2234 E 7th Ave, PORT ANGELES |
| State: | WA |
| Postal Code: | 983629017 |
| Phone Number: | 3604574570 |
| Fax Number: | |
| NPI Enumeration Date: | 02/18/2010 |
| NPI Last Update Date: | 02/18/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MH30002352 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |