| NPI | 1972878338 |
|---|---|
| Former Name | JENNA LEANN KRUEGER |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C4589) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: OR R3309) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: OR 13-12-23) | |
| Enumeration Date | 2012-03-19 |
| Last Update Date | 2021-12-27 |