Individual provider · Type 1 NPI

Jacqueline Mary Wruck, LADC

Addiction (Substance Use Disorder) Counselor · St. Cloud, MN

NPI number 1992361885 Active

Practice location

713 Anderson Ave
St. Cloud, MN 56303-2048

Fax (320) 229-3762

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X305256 (MN)

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

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About NPI 1992361885

Jacqueline Mary Wruck, LADC's National Provider Identifier is 1992361885, issued on May 15, 2019. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in St. Cloud, MN. The record was last updated on May 15, 2019.