Provider Demographics
NPI:1992282537
Name:KRUEGER, MOLLY ADAMS (LCMHC, NCC)
Entity type:Individual
Prefix:MRS
First Name:MOLLY
Middle Name:ADAMS
Last Name:KRUEGER
Suffix:
Gender:F
Credentials:LCMHC, NCC
Other - Prefix:
Other - First Name:MOLLY
Other - Middle Name:JANE
Other - Last Name:ADAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCMHC, NCC
Mailing Address - Street 1:3100 STANFORD DR
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27707-3851
Mailing Address - Country:US
Mailing Address - Phone:919-724-7526
Mailing Address - Fax:
Practice Address - Street 1:4154 MENDENHALL OAKS PKWY STE 101
Practice Address - Street 2:
Practice Address - City:HIGH POINT
Practice Address - State:NC
Practice Address - Zip Code:27265-8426
Practice Address - Country:US
Practice Address - Phone:336-884-9510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-07-26
Last Update Date:2024-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA14063101YM0800X
NC14063101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health