Individual provider · Type 1 NPI

John Kruckenberg

Mental Health Counselor · Marshalltown, IA

NPI number 1619705340 Active

Practice location

15 E Southridge Rd
Marshalltown, IA 50158-4550

Call (641) 351-4003 Map

Fax (641) 351-4869

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1619705340

John Kruckenberg's National Provider Identifier is 1619705340, issued on Jul 24, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Marshalltown, IA. The record was last updated on Jul 24, 2024.