| Shannon Dwayne Kretz, AA, CDPT | |
|
309 Oak St, Kelso, WA 98626-2340 | |
| (360) 423-0203 | |
| (360) 577-7904 |
| Full Name | Shannon Dwayne Kretz |
|---|---|
| Gender | Male |
| Speciality | Counselor |
| Location | 309 Oak St, Kelso, Washington |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861977936 | NPI | - | NPPES |
| 2108137 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 60871961 (Washington) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Shannon Dwayne Kretz, AA, CDPT 921 14th Avenue, Longview, WA 98632 Ph: (360) 423-0203 | Shannon Dwayne Kretz, AA, CDPT 309 Oak St, Kelso, WA 98626-2340 Ph: (360) 423-0203 |
Ariel Jones, Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-577-7442 Fax: 360-577-7904 | |
Ms. Rene Kerry Bohannon-oxford, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2707 Pacific Ave North, Kelso, WA 98626 Phone: 360-261-8467 Fax: 360-414-8906 | |
Raven Mosley, Counselor Medicare: Not Enrolled in Medicare Practice Location: P.o Box 1062, Kelso, WA 98632 Phone: 360-423-0203 | |
Kenneth Case, CDPT Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-577-7442 | |
Kimberly Michelle Anderson, MA Counselor Medicare: Not Enrolled in Medicare Practice Location: 1710 Allen St, Kelso, WA 98626 Phone: 360-261-7020 | |
Cathy Ludahl, CDP Counselor Medicare: Not Enrolled in Medicare Practice Location: 305 Pacific Ave S Ste 102, Kelso, WA 98626 Phone: 360-577-7442 Fax: 360-577-7904 | |
Deborah Smith, Counselor Medicare: Not Enrolled in Medicare Practice Location: 621 Grade St, Kelso, WA 98626 Phone: 360-425-5855 |