Individual provider · Type 1 NPI

Donavon Krueger, CTRS

Addiction (Substance Use Disorder) Counselor · Racine, WI

NPI number 1174128904 Active

Practice location

1320 Wisconsin Ave
Racine, WI 53403-1978

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1174128904

Donavon Krueger, CTRS's National Provider Identifier is 1174128904, issued on Dec 1, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Racine, WI. The record was last updated on Dec 1, 2020.