Provider Demographics
NPI:1821842113
Name:KRUZEL, MARLEE ANN (LPCC)
Entity Type:Individual
Prefix:
First Name:MARLEE
Middle Name:ANN
Last Name:KRUZEL
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10650 RED CIRCLE DR STE 103
Mailing Address - Street 2:
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55343-9184
Mailing Address - Country:US
Mailing Address - Phone:612-913-4600
Mailing Address - Fax:
Practice Address - Street 1:10650 RED CIRCLE DR STE 103
Practice Address - Street 2:
Practice Address - City:MINNETONKA
Practice Address - State:MN
Practice Address - Zip Code:55343-9184
Practice Address - Country:US
Practice Address - Phone:612-913-4600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC04374101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor