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Individual

MR. CURTIS E CRETAL

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
MAC

Contact information

Practice address
140 E BROADWAY, STE #25, JACKSON, WY 83002-7482
(307) 732-4199
(866) 982-9040
Mailing address
PO BOX 7482, 140 E BROADWAY STE #25, JACKSON, WY 83002-7482
(307) 732-4199
(866) 982-9040

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LAT-204
WY

Other

Enumeration date
08/31/2009
Last updated
08/31/2009
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