person
Mary Jane Kruse, MA,CACIII
Addiction (Substance Use Disorder) Counselor in Pueblo West, Colorado
NPI 1972828036

Mary Jane Kruse is an Addiction (Substance Use Disorder) Counselor based in Pueblo West, CO and is specialized in Addiction (Substance Use Disorder). Mary Jane Kruse practices in Pueblo West, CO and has the professional credentials of MA,CACIII. The NPI Number for Mary Jane Kruse is 1972828036 and holds a License No. 5214 (Colorado).

The current practice location address for Mary Jane Kruse is 328 W Casper Dr, Pueblo West, CO and can be reached out via phone at 719-569-2199.

Location: 328 W Casper Dr, Pueblo West, CO, 81007-2818
person
Provider Profile Details
NPI Number
1972828036
Provider Name
Mary Jane Kruse
Credential
MA,CACIII
Provider Entity Type
Individual
Gender
Female
Address
328 W Casper Dr, Pueblo West, CO, 81007-2818
Phone Number
719-569-2199
Fax Number
Provider Enumeration Date
04/01/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
5214 01 CO CAC III CERTIFICATION NUMBER
institution
Provider Business Practice Location Address Details
Address
328 W Casper Dr
City
State
Zip
81007-2818
Phone Number
719-569-2199
Fax Number
person
Provider Business Mailing Address Details
Address
328 W Casper Dr
City
State
Zip
81007-2818
Phone Number
719-569-2199
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
5214 (Colorado)
Definition
Definition to come...
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