Individual provider · Type 1 NPI

George Edgar Kruse Iv

Addiction (Substance Use Disorder) Counselor · Eureka, CA

NPI number 1972019362 Active

Practice location

720 Wood St
Eureka, CA 95501-4413

Mailing address

2245 Parkwood Blvd
Eureka, CA 95503-7042

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCI07300317 (CA)

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

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About NPI 1972019362

George Edgar Kruse Iv's National Provider Identifier is 1972019362, issued on Dec 20, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Eureka, CA. The record was last updated on Jan 19, 2018.