SEAN ADRIAN KRUCKENBERG

RIALTO, CA
NPI1871079665
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy1041C0700X Social Worker, Clinical
(Licence: CA  LCSW121455)
Additional Taxonomies101YM0800X Counselor, Mental Health
(Licence: CA  104512)
104100000X Social Worker
(Licence: CA  104512)
Enumeration Date2018-07-14
Last Update Date2024-03-20
Business Address
Mr. SEAN ADRIAN KRUCKENBERG LCSW
850 E FOOTHILL BLVD
RIALTO, CA 92376-5230
Phone number: 909-421-9380
Mailing Address
Mr. SEAN ADRIAN KRUCKENBERG LCSW
850 E FOOTHILL BLVD
RIALTO, CA 92376-5230
Phone number: 909-808-0967