Individual
HANNAH KRETVIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
383 E ALLEN ST APT B, WINOOSKI, VT 05404-1560
(802) 345-7785
(802) 488-6919
Mailing address
383 E ALLEN ST APT B, WINOOSKI, VT 05404-1560
(802) 345-7785
(802) 488-6919
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
151-0134088
VT
1041C0700X
Clinical Social Worker
Primary
089.134472
VT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6702805
—
VT
Enumeration date
01/14/2020
Last updated
01/06/2022
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