Kruse, Dwayne Allen

Kruse, Dwayne Allen is an individual health care provider with primary practice located at 1621 N Marshall White Rd , Tombstone AZ 85638-6114. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Marriage & Family Therapist. Behavioral Health & Social Service Providers / Marriage & Family Therapist is his primary health care specialty. Kruse, Dwayne Allen can be contacted via phone (520) 678-1115.

Contact Information

Primary practice address
1621 N Marshall White Rd Tombstone AZ 85638-6114
Phone: (520) 678-1115
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LF61171041 Washington
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X LMFT-15582 Arizona

Profile Details

NPI number 1427156520
LBN Legal business name Kruse, Dwayne Allen
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 20th, 2006
Last updated Mar 8th, 2022 - about 3 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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