Individual
HANNAH KRETVIX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
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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