ANDREW D KRUCKEBERG

SANTA ANA, CA
NPI1437344470
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YM0800X Counselor, Mental Health
Enumeration Date2007-09-12
Last Update Date2007-09-14
Business Address
-- ANDREW D KRUCKEBERG BSE
2416 S MAIN ST
SANTA ANA, CA 92707-3290
Phone number: 714-668-8498
Mailing Address
-- ANDREW D KRUCKEBERG BSE
2416 S MAIN ST
SANTA ANA, CA 92707-3290
Phone number: 714-668-8498
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