NPI | 1184863730 |
---|---|
Professional Name | KEVIN CHRISTOPHER KROUSE |
Entity Type | Individual |
Gender | Male |
Sole Proprietor ? | No |
Primary Taxonomy | 172V00000X Community Health Worker (Licence: CA A044070417) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: MI 821045) |
Enumeration Date | 2009-02-05 |
Last Update Date | 2025-03-03 |