Kruckeberg, Jessica
Kruckeberg, Jessica is an sole proprietor health care provider with primary practice located at 2101 S Blackhawk St Suite 240, Aurora CO 80014-1492. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Kruckeberg, Jessica can be contacted via phone (612) 360-9935.Contact Information
Primary practice address
2101 S Blackhawk St Suite 240
Aurora CO 80014-1492
Phone: (612) 360-9935
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Marriage & Family Therapist | 106H00000X | 0001336 | Colorado |
Profile Details
| NPI number | 1629513130 |
|---|---|
| LBN Legal business name | Kruckeberg, Jessica |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Dec 20th, 2016 |
| Last updated | Jun 11th, 2019 - about 7 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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