Organization Name: | JENNIFER KRUSE, M.A., LMHC, PLLC |
NPI Number: | 1427328772 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JENNIFER KRUSE (OWNER/THERAPIST) |
Mailing Address: | 309 S 7th St Suite C Adel |
State: | IA US |
Postal Code: | 500031838 |
Phone Number: | 5159931919 |
Fax Number: | |
NPI Enumeration Date: | 01/04/2012 |
NPI Last Update Date: | 01/04/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 00861 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |