Jacqueline Mary Wruck, LADC - Counselor in Saint Cloud, MN

Jacqueline Mary Wruck, LADC is a Counselor - Addiction (substance Use Disorder) based in Saint Cloud, Minnesota. Jacqueline Mary Wruck is licensed to practice in Minnesota (license number 305256) and her current practice location is 713 Anderson Ave, Saint Cloud, Minnesota. She can be reached at her office (for appointments etc.) via phone at (320) 229-3760.

NPI number for Jacqueline Mary Wruck is 1992361885 and her current mailing address is 713 Anderson Ave, Saint Cloud, Minnesota. She does not participate in medicare program and thus does not accept medicare assignments. Her NPI Number is 1992361885.

Contact Information

Jacqueline Mary Wruck, LADC
713 Anderson Ave,
Saint Cloud, MN 56303-2048
(320) 229-3760
(320) 229-3762

Map and Direction


Healthcare Provider's Profile

Full NameJacqueline Mary Wruck
GenderFemale
SpecialityCounselor - Addiction (substance Use Disorder)
Location713 Anderson Ave, Saint Cloud, Minnesota
Accepts Medicare AssignmentsDoes not participate in Medicare Program. She may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1992361885
  • Provider Enumeration Date: 05/15/2019
  • Last Update Date: 05/15/2019

Medical Identifiers

Medical identifiers for Jacqueline Mary Wruck such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1992361885NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
101YA0400XCounselor - Addiction (substance Use Disorder) 305256 (Minnesota)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacqueline Mary Wruck is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Jacqueline Mary Wruck, LADC
713 Anderson Ave,
Saint Cloud, MN 56303-2048

Ph: (320) 229-3760
Jacqueline Mary Wruck, LADC
713 Anderson Ave,
Saint Cloud, MN 56303-2048

Ph: (320) 229-3760

Reviews and Comments


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