Shannon Dwayne Kretz AA, CDPT

  • NPI 1861977936
According to our database, the NPI number for Shannon Dwayne Kretz AA, CDPT is 1861977936 and activated since 5 years ago. Shannon Dwayne Kretz AA, CDPT is an individual provider who specializes in Counselor, and the primary practice location is 309 Oak St, Kelso, WA 98626. You can also contact Shannon Dwayne Kretz AA, CDPT via telephone number is (360) 423-0203. Provider NPI information was last updated on 02/05/2019.

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Overview of Shannon Dwayne Kretz AA, CDPT

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 09/25/2018
  • Last updated: 02/05/2019

Primary Scrop of Practice

  • Taxonomy Code: 101Y00000X
  • Specialty: Counselor
  • License Number: 60871961
  • License State: WA

Provider Mailing Address

  • Address: 921 14th Avenue
    Longview, WA 98632
  • Phone: 360-423-0203
  • Fax: 360-577-0269

Provider Practice Location

  • Address: 309 Oak St
    Kelso, WA 98626
  • Phone: 360-423-0203
  • Fax: 360-577-7904

Scope of Practice

  • Taxonomy Code: 101Y00000X
  • Specialty: Counselor
  • License Number: 60871961
  • License State: WA
  • Switch: Yes

Legacy Identifiers

  • Provider Identifier: 2108137
  • Identifier Type: Medicare Oscar/Certification
  • Identifier State: WA
  • Issuer:

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Shannon Dwayne Kretz AA, CDPT?
  • A: The npi number for Shannon Dwayne Kretz AA, CDPT is 1861977936.
  • Q: What are Shannon Dwayne Kretz AA, CDPT's specialties?
  • A: Shannon Dwayne Kretz AA, CDPT's specialties are Counselor and different specialities.
  • Q: What is the medical license for Shannon Dwayne Kretz AA, CDPT?
  • A: The medical license number for Shannon Dwayne Kretz AA, CDPT is 60871961 and issued in WA in USA.
  • Q: Where is Shannon Dwayne Kretz AA, CDPT practice location?
  • A: Shannon Dwayne Kretz AA, CDPT is practicing at 309 Oak St, Kelso, WA 98626.
  • Q: How to contact Shannon Dwayne Kretz AA, CDPT?
  • A: You can contact Shannon Dwayne Kretz AA, CDPT via 360-423-0203.
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