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Individual

MR. JEREMY TAYLOR KRENTZ

Active
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Individual

MR. JEREMY TAYLOR KRENTZ

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LADC, LICSW

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
303541
MN
1041C0700X
Clinical Social Worker
Primary
28258
MN

Other

Enumeration date
03/27/2019
Last updated
10/19/2021
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