Cory R. Krueger MS, LPC-IT, SAC-IT
Professional Counselor in Jefferson, WI(View on Map)
Full Name
Cory R Krueger MS, LPC-IT, SAC-IT
NPI Number
1417407297
NPI Type
Individual Provider
Gender
Male
Enumeration Date
10/05/2016
Specialties
(Taxonomies)Code
101YP2500X
101YA0400X
Primary Taxonomy
Yes
No
Licenses
State
Wisconsin
Wisconsin
License Number
3039-226
17863-130
Contact
Information
Purpose
Mailing
Location
Address
W7210 COUNTY ROAD V
1541 ANNEX RD
City
Lake Mills
Jefferson
State
WI
WI
Postal Code
53551-9645
53549-9803
Country
US
US
Telephone Number
(920) 648-5613
(920) 674-3105
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 10/05/2016
Provider Address
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