Shannon Dwayne Kretz, AA, CDPT

NPI #1861977936 in Kelso, Washington

Provider Information

NPI Number: 1861977936
Entity Type: Individual
Name: Shannon Dwayne Kretz, AA, CDPT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor
Credential: AA, CDPT
Enumeration Date: Sep 25, 2018
Last Updated: Feb 5, 2019

Practice Location

Address: 309 OAK ST
City: Kelso
State: Washington
ZIP Code: 98626-2340
Phone: (360) 423-0203

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X	Primary

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