Jennifer Kruse, M.a., Lmhc, Pllc | |
309 S 7th St Suite C Adel IA 50003-1838 | |
(515) 993-1919 | |
Not Available |
Full Name | Jennifer Kruse, M.a., Lmhc, Pllc |
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Speciality | Counselor |
Location | 309 S 7th St, Adel, Iowa |
Authorized Official Name and Position | Jennifer Kruse (OWNER/THERAPIST) |
Authorized Official Contact | 5154028098 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Jennifer Kruse, M.a., Lmhc, Pllc 309 S. 7th St. Suite C Adel IA 50003 Ph: () - | Jennifer Kruse, M.a., Lmhc, Pllc 309 S 7th St Suite C Adel IA 50003-1838 Ph: (515) 993-1919 |
NPI Number | 1427328772 |
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Provider Enumeration Date | 01/04/2012 |
Last Update Date | 01/04/2012 |
Medicare PECOS PAC ID | 5092150581 |
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Medicare Enrollment ID | O20240223002068 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427328772 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 00861 (Iowa) | Primary |
Provider Name | Jennifer L. Schmitz-kruse |
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Provider Type | Practitioner - Mental Health Counselor |
Provider Identifiers | NPI Number: 1649509597 PECOS PAC ID: 6901241496 Enrollment ID: I20240224000462 |
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