| Doctor Name: | MRS. JANELLE KATHLEEN KRUEGER |
| NPI Number: | 1174952352 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | SAC |
| License Number: | 15761-131 |
| Business Practice Address: | 480 Underwood Ave Montello, WI - 539499248 |
| Business Phone Number: | 6082973181 |
| Business Fax Number: | 6082972148 |
| Mailing Address: | W5312 Dixie Ln, WESTFIELD |
| State: | WI |
| Postal Code: | 539648562 |
| Phone Number: | 6082973181 |
| Fax Number: | 6082972148 |
| NPI Enumeration Date: | 11/07/2013 |
| NPI Last Update Date: | 11/07/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 15761-131 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |