Individual provider · Type 1 NPI
Mary Jane Kruse, MA, CAC III
Addiction (Substance Use Disorder) Counselor · Pueblo West, CO
NPI number
1972828036
Active
Practice location
328 W Casper Dr
Pueblo West, CO 81007-2818
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 5214 (CO) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Pueblo West
About NPI 1972828036
Mary Jane Kruse, MA, CAC III's National Provider Identifier is 1972828036, issued on Apr 1, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Pueblo West, CO. The record was last updated on Apr 1, 2010.