John Kruckenberg
Counselor, Mental Health in Marshalltown, IA. Individual provider (NPI-1).
NPI number1619705340
StatusActive
Last updated in NPPESJul 24, 2024
Details
- NPI
- 1619705340
- Entity type
- Individual (NPI-1)
- Name
- John Kruckenberg
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jul 24, 2024
- Certification date
- Jul 24, 2024
- Last updated
- Jul 24, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
Practice location
15 E Southridge RdMarshalltown, IA 50158-4550
Phone 641-351-4003 · Fax 641-351-4869
Mailing address
15 E Southridge RdMarshalltown, IA 50158-4550
Phone 641-351-4003 · Fax 641-351-4869
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All 44 Mental Health Counselor providers in Marshalltown · All 574 providers in Marshalltown
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