Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JACQUELINE MARY WRUCK, LADC
Active Sole ProprietorJACQUELINE MARY WRUCK, LADC is a Addiction (Substance Use Disorder) Counselor healthcare provider located in SAINT CLOUD, Minnesota. NPI 1992361885 is currently active in the NPPES registry. Verify at CMS.
Addiction (Substance Use Disorder) Counselor · SAINT CLOUD, MN
Registration Details
- NPI Number
- 1992361885
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 15, 2019 (7.2524478626977 yrs)
- Last Updated
- May 15, 2019
- License
-
305256 (MN)
- Sole Proprietor
- Yes
Practice Information
- Address
-
713 ANDERSON AVESAINT CLOUD, MN, 563032048Browse MN providers · Browse ZIP 56303
- Phone
- 3202293760
- Fax
- 3202293762
- Primary Specialty
-
Addiction (Substance Use Disorder) Counselor
101YA0400X
Other Addiction (Substance Use Disorder) Counselor Providers in SAINT CLOUD, MN
| Name | Credential | NPI |
|---|---|---|
| KATHERINE ANN OMLID | LADC | 1548322886 |
| MICHAEL PATRICK O'NEAL | LADC | 1831383199 |
| SARAH BETH BENGTSON | MA, LADC, LMFT | 1407032949 |
| CHRISTOPHER LEE FRANSEEN | LADC | 1851565873 |
| JAY ALAN ORTH | LADC | 1750534434 |
| WILLIAM LESLIE WEBER-BROWN | BS, BCC, LADC | 1194957522 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.