Individual provider · Type 1 NPI

Ellen Ruth Kruger, L.I.C.S.W.

Mental Health Counselor · Medford, MA

NPI number 1053467563 Active

Practice location

84 High St
Medford, MA 02155-3844

Call (781) 393-0009 Map

Fax (781) 395-2909

Mailing address

49 Hammond Pl
Woburn, MA 01801-3415

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800X105528 (MA)

Mental Health Counselor: Definition to come...

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About NPI 1053467563

Ellen Ruth Kruger, L.I.C.S.W.'s National Provider Identifier is 1053467563, issued on Jan 26, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Medford, MA. The record was last updated on Jul 8, 2007.