Individual
DERRICK BRETT KRETSCHMER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3502 S MASON AVE APT 7E, TACOMA, WA 98409-8535
(661) 220-4947
Mailing address
3502 S MASON AVE APT 7E, TACOMA, WA 98409-8535
(661) 220-4947
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
02/07/2013
Last updated
09/07/2021
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