Individual provider · Type 1 NPI
John Paul Kretkowski
Mental Health Counselor · Lake Waccamaw, NC
NPI number
1609414754
Active
Practice location
400 Flemington Dr
Lake Waccamaw, NC 28450-1932
Mailing address
2007 Red Woodpeckers Ct
Leland, NC 28451-5654
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | 22239 (NC) |
| Mental Health Counselor | 101YM0800X | 012200 (NY) |
Mental Health Counselor: Definition to come...
Another provider at this address
About NPI 1609414754
John Paul Kretkowski's National Provider Identifier is 1609414754, issued on Dec 18, 2019. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Lake Waccamaw, NC. The record was last updated on Oct 5, 2026.