Kruse, Sandra Johnston

Kruse, Sandra Johnston is an individual health care provider with primary practice located at 336 Gundersen Dr Ste B Outreach Community Counseling Center, Carol Stream IL 60188-2403. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Kruse, Sandra Johnston can be contacted via phone (630) 871-2100.

Contact Information

Primary practice address
336 Gundersen Dr Ste B Outreach Community Counseling Center Carol Stream IL 60188-2403
Phone: (630) 871-2100
Fax: (630) 588-0824
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1144418500
LBN Legal business name Kruse, Sandra Johnston
Credentials PSY.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 11th, 2007
Last updated Oct 11th, 2007 - about 19 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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