Provider Demographics
NPI:1942345350
Name:KRUGER, MARY E (LMFT)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:E
Last Name:KRUGER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:MARY
Other - Middle Name:E
Other - Last Name:PLUNKETT KRUGER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:100 BANK ST
Mailing Address - Street 2:SUITE 306 RIMMON POND COUNSELING LLC
Mailing Address - City:SEYMOUR
Mailing Address - State:CT
Mailing Address - Zip Code:06483
Mailing Address - Country:US
Mailing Address - Phone:203-888-0462
Mailing Address - Fax:203-888-1465
Practice Address - Street 1:100 BANK ST
Practice Address - Street 2:SUITE 306 RIMMON POND COUNSELING LLC
Practice Address - City:SEYMOUR
Practice Address - State:CT
Practice Address - Zip Code:06483
Practice Address - Country:US
Practice Address - Phone:203-888-0462
Practice Address - Fax:203-888-1465
Is Sole Proprietor?:No
Enumeration Date:2007-02-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000525106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist