Individual
GINA CRETSER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, CRC
Contact information
Practice address
212 RODEO DR. #410, MOSCOW, ID 83843
(208) 882-5960
Mailing address
212 RODEO DR STE 410, MOSCOW, ID 83843-9794
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LPC-6520
ID
Other
Enumeration date
06/21/2017
Last updated
06/21/2017
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