Individual provider · Type 1 NPI
Curtis E. Cretal, MAC
Addiction (Substance Use Disorder) Counselor · Jackson, WY
NPI number
1861625402
Active
Practice location
140 E Broadway, Ste #25
Jackson, WY 83002-7482
Fax (866) 982-9040
Mailing address
PO Box 7482, 140 E Broadway Ste #25
Jackson, WY 83002-7482
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | LAT-204 (WY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1861625402
Curtis E. Cretal, MAC's National Provider Identifier is 1861625402, issued on Aug 31, 2009. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Jackson, WY. The record was last updated on Aug 31, 2009.