| Cory R Krueger, MS, LPC-IT, SAC-IT | |
|
1541 Annex Rd, Jefferson, WI 53549-9803 | |
| (920) 674-3105 | |
| Not Available |
| Full Name | Cory R Krueger |
|---|---|
| Gender | Male |
| Speciality | Counselor - Professional |
| Location | 1541 Annex Rd, Jefferson, Wisconsin |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417407297 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 17863-130 (Wisconsin) | Secondary |
| 101YP2500X | Counselor - Professional | 3039-226 (Wisconsin) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Cory R Krueger, MS, LPC-IT, SAC-IT W7210 County Road V, Lake Mills, WI 53551-9645 Ph: (920) 648-5613 | Cory R Krueger, MS, LPC-IT, SAC-IT 1541 Annex Rd, Jefferson, WI 53549-9803 Ph: (920) 674-3105 |
Brittany Long, MS, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 | |
Amanda Sass, MA, LPC Counselor Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 | |
Kimberly Miller, LCSW, SAC-IT Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 | |
Danielle Graham - Heine, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 Fax: 920-674-6113 | |
Ms. Holly Rae Pagel, MSW Counselor Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-8108 Fax: 920-674-8114 | |
Mrs. Amanda Rae Lightner, LPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-8197 Fax: 920-674-6113 | |
Amy Porter, LPC, CSAC Counselor Medicare: Medicare Enrolled Practice Location: 1541 Annex Rd, Jefferson, WI 53549 Phone: 920-674-3105 |