Individual
JEREMY KREKULA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
102 MAIN ST N STE 100, STEWARTVILLE, MN 55976-2608
(507) 218-7114
Mailing address
102 MAIN ST N STE 100, STEWARTVILLE, MN 55976-2608
(507) 218-7114
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
304745
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
304745
MINNESOTA BOARD OF BEHAVIOAL HEALTH
MN
Enumeration date
10/07/2020
Last updated
10/07/2020
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