Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cory R Krueger, MS, LPC-IT, SAC-IT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417407297

Cory R Krueger, MS, LPC-IT, SAC-IT is an Addiction (Substance Use Disorder) Counselor in Jefferson, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2016.

Licensed in
WI
In the registry since
2016
Specialties on file
2
What do these letters mean?
MS — Master of Science
A graduate science degree.

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Practice location Address checks out

1541 Annex Rd
Jefferson, WI 53549-9803
Phone: (920) 674-3105
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Professional Counselor (primary) Taxonomy 101YP2500X · Licence 3039-226 (WI)
Addiction (Substance Use Disorder) Counselor Taxonomy 101YA0400X · Licence 17863-130 (WI)

Record details

NPI number1417407297
Entity typeIndividual (Type 1)
GenderMale
Credentials MS , LPC-IT , SAC-IT
Sole proprietorNo
NPI enumeratedOctober 5, 2016
Last updated in NPPESOctober 5, 2016

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