DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: PRISCILLA KRUSE MA, LADC

MEDICARE: PRISCILLA KRUSE MA, LADC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) Counselor302865MN

General Provider Information

NPI Number : 1760734479
Entity Type Code : Individual
Provider Name (Legal Business Name) : PRISCILLA KRUSE MA, LADC
Provider Business Mailing Address
First Line : 1900 SILVER LAKE RD NW
Second Line : SUITE 110
City : NEW BRIGHTON
State : MN
Zip : 55112-1786
Country : US
Telephone Number : 651-628-0955
Fax Number : 651-628-0411
Provider Business Practice Location Address
First Line : 11010 PRAIRIE LAKES DR STE 350
Second Line :
City : EDEN PRAIRIE
State : MN
Zip : 55344-3801
Country : US
Telephone Number : 651-628-0955
Fax Number : 651-628-0411
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2012
Last Update Date : 01/02/2018

Similar Medicare Providers

1336867399 — DEQO MOHAMED AHMED MSW, LICSW
Practice Location Address:
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN
55344-3801
Practice Phone: 952-746-2522
Practice Fax:
1225117377 — DR. SONYA BOSSER SCHROEDER MD
Practice Location Address:
11010 PRAIRIE LAKES DR STE 350 , PRAIRIE LAKES CORPORATE CENTER II
EDEN PRAIRIE, MN
55344-3801
Practice Phone: 952-746-2522
Practice Fax:
1194093427 — MISS LINDSAY BARGANZ-JUNKER MA, LMFT
Practice Location Address:
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN
55344-3801
Practice Phone: 952-746-2522
Practice Fax: 952-746-0887
1265705701 — SEAN WILLIAM MCGEE CNP
Practice Location Address:
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN
55344-3801
Practice Phone: 952-746-2522
Practice Fax: 952-746-0887
1770923617 — WENDY JOAN BAKER LMFT
Practice Location Address:
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN
55344-3801
Practice Phone: 952-746-2522
Practice Fax: 952-746-0887
1629400833 — TAMMY S MCCARTHY MA, LMFT
Practice Location Address:
11010 PRAIRIE LAKES DR STE 350
EDEN PRAIRIE, MN
55344-3801
Practice Phone: 952-746-2522
Practice Fax: 952-746-0887

Directions to “ PRISCILLA KRUSE MA, LADC” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.