Most Relevant Information
Provider Data
| NPI Number: | 1003566860 |
| Provider Name: | PAULA THERESE KRUEGER |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 03/25/2022 |
| Last Updated: | 03/25/2022 |
Provider Practice Location
3208 HERSHBERGER RD NW
ROANOKE
VA
240171842
Practice Location Phone/Fax
| Phone: | 5402278426 |
| Fax: |
Provider Mailing Location
3500 TIMBERLINE TRL
ROANOKE
VA
240184514
Provider Mailing Phone/Fax
| Phone: | 5406765135 |
| Fax: |