Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
SHANNON DWAYNE KRETZ, AA, CDPT
ActiveSHANNON DWAYNE KRETZ, AA, CDPT is a Counselor healthcare provider located in KELSO, Washington. NPI 1861977936 is currently active in the NPPES registry. Verify at CMS.
Counselor · KELSO, WA
Registration Details
- NPI Number
- 1861977936
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 25, 2018 (7.7405606030278 yrs)
- Last Updated
- Feb 5, 2019
- License
-
60871961 (WA)
Practice Information
- Address
-
309 OAK STKELSO, WA, 986262340Browse WA providers · Browse ZIP 98626
- Phone
- 3604230203
- Fax
- 3605777904
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in KELSO, WA
| Name | Credential | NPI |
|---|---|---|
| JOHN DUFFIN MCSHANE II | MA | 1285925750 |
| DEE J.F. WITT | MS | 1265789879 |
| MS. RENE KERRY BOHANNON-OXFORD | LMHC | 1033468822 |
| KEISHA LEE | — | 1902225501 |
| MS. MORGAN HOPE MCANALLY | MA | 1811373079 |
| AUTUMN IRVINE | SUDP, CAAR | 1871029140 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.