Active NPIIndividual provider

Kevin Kretchman, LCDP, LCDS

Counselor, Addiction (Substance Use Disorder) in Johnston, Rhode Island

NPI Number1699911636
Practice location
1443 Hartford Ave, Johnston, RI 02919-3224
Fax
401-861-8696
Last updated
December 22, 2008

Kevin Kretchman is a Counselor, Addiction (Substance Use Disorder) based in Johnston, RI. Kevin Kretchman practices in Johnston, RI and has the professional credentials of LCDP, LCDS. The NPI Number for Kevin Kretchman is 1699911636 and holds a License No. CDP00377 (RI). The current practice location address for Kevin Kretchman is 1443 Hartford Ave, Johnston, RI 02919-3224 and can be reached out via phone at 401-553-1053 and via fax at 401-861-8696.

Provider Profile Details

NPI Number
1699911636
Provider Name
Kevin Kretchman
Credential
LCDP, LCDS
Provider Entity Type
Individual
Gender
Male
Address
1443 Hartford Ave, Johnston, RI 02919-3224
Phone Number
401-553-1053
Fax Number
401-861-8696
Primary Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X
Sole Proprietor
No
Provider Enumeration Date
December 22, 2008
Last Update Date
December 22, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
1443 Hartford Ave
Johnston, RI 02919-3224
Zip
02919-3224
Phone Number
401-553-1053
Fax Number
401-861-8696
Johnston, RI 02919Get directions →

Provider Business Mailing Address Details

Address
249 Roosevelt Ave
Suite 205
Pawtucket, RI 02860-2134
City
Pawtucket
State
RI
Zip
02860-2134
Phone Number
401-724-8400
Fax Number
401-365-1100

License Information

License Number
CDP00377
License State
RI
Taxonomy
Counselor, Addiction (Substance Use Disorder) · 101YA0400X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Kevin Kretchman, LCDP, LCDS?

The NPI number of Kevin Kretchman, LCDP, LCDS is 1699911636. It was assigned on December 22, 2008 and is currently active in the NPPES registry.

What is the specialty of Kevin Kretchman, LCDP, LCDS?

Kevin Kretchman, LCDP, LCDS is registered under the primary taxonomy Counselor, Addiction (Substance Use Disorder) (code 101YA0400X), licensed in RI under license number CDP00377.

Where does Kevin Kretchman, LCDP, LCDS practice?

The practice location is 1443 Hartford Ave, Johnston, RI 02919-3224. The office can be reached at 401-553-1053 (phone) or 401-861-8696 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1699911636 directly on the NPPES registry website.

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