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Constance Rose Krupa
Peer Specialist in Rock Island, Illinois
NPI 1861106791

Constance Rose Krupa is a Peer Specialist based in Chicago, IL. Constance Rose Krupa practices in Rock Island, IL. The NPI Number for Constance Rose Krupa is 1861106791 and holds a License No. (Illinois).

The current practice location address for Constance Rose Krupa is 2701 17Th St, Rock Island, IL and can be reached out via phone at 309-779-3000.

Location: 2701 17Th St, Rock Island, IL, 60638-5102
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1861106791
Provider Name
Constance Rose Krupa
Credential
Provider Entity Type
Individual
Gender
Female
Address
2701 17Th St, Rock Island, IL, 60638-5102
Phone Number
309-779-3000
Fax Number
Provider Enumeration Date
01/05/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2701 17Th St
City
Rock Island
State
Illinois
Zip
61201-5351
Phone Number
309-779-3000
Fax Number
person
Provider Business Mailing Address Details
Address
2701 17Th St
City
Rock Island
State
Illinois
Zip
61201-5351
Phone Number
309-779-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Peer Specialist
Speciality
-
Taxonomy
175T00000X
License No.
()
Definition
Individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority.
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