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Mr. Kenneth Dayton Krueger
Mental Health Counselor in Lincoln, Illinois
NPI 1780128934

Kenneth Dayton Krueger is a Mental Health Counselor based in Lincoln, IL and is specialized in Mental Health. Kenneth Dayton Krueger practices in Lincoln, IL. The NPI Number for Kenneth Dayton Krueger is 1780128934 and holds a License No. (Illinois).

The current practice location address for Kenneth Dayton Krueger is 1700 N Jefferson St, Lincoln, IL and can be reached out via phone at 217-732-6225.

Location: 1700 N Jefferson St, Lincoln, IL, 62656-0441
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1780128934
Provider Name
Kenneth Dayton Krueger
Credential
Provider Entity Type
Individual
Gender
Male
Address
1700 N Jefferson St, Lincoln, IL, 62656-0441
Phone Number
217-732-6225
Fax Number
Provider Enumeration Date
12/07/2016
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
370982024-002 05 IL
institution
Provider Business Practice Location Address Details
Address
1700 N Jefferson St
City
Lincoln
State
Illinois
Zip
62656-1047
Phone Number
217-732-6225
Fax Number
person
Provider Business Mailing Address Details
Address
1700 N Jefferson St
City
Lincoln
State
Illinois
Zip
62656-1047
Phone Number
217-732-6225
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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