Individual provider · Type 1 NPI

Jan Kruse

Addiction (Substance Use Disorder) Counselor · Oxnard, CA

NPI number 1871964585 Active

Practice location

1911 Williams
Oxnard, CA 93036-9272

Call (805) 340-1378 Map

Mailing address

11060 Hildreth Ct
Santa Rosa Valley, CA 93012-9272

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X122929 (CA)

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

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About NPI 1871964585

Jan Kruse's National Provider Identifier is 1871964585, issued on Oct 8, 2015. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Oxnard, CA. The record was last updated on Oct 8, 2015.