person
Kevin Kretchman, LCDP,LCDS
Addiction (Substance Use Disorder) Counselor in Johnston, Rhode Island
NPI 1699911636

Kevin Kretchman is an Addiction (Substance Use Disorder) Counselor based in Pawtucket, RI and is specialized in Addiction (Substance Use Disorder). 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 (Rhode Island).

The current practice location address for Kevin Kretchman is 1443 Hartford Ave, Johnston, RI and can be reached out via phone at 401-553-1053 and via fax at 401-861-8696. You can also correspond with Kevin Kretchman through the mailing address at 249 ROOSEVELT AVE, PAWTUCKET, RI - 02860-2134 (mailing address contact number: 401-724-8400).

Location: 1443 Hartford Ave, Johnston, RI, 02860-2134
person
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, 02860-2134
Phone Number
401-553-1053
Fax Number
401-861-8696
Provider Enumeration Date
12/22/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
GH57134 05 RI
institution
Provider Business Practice Location Address Details
Address
1443 Hartford Ave
City
State
Zip
02919-3224
Phone Number
401-553-1053
Fax Number
401-861-8696
person
Provider Business Mailing Address Details
Address
249 Roosevelt Ave
City
State
Zip
02860-2134
Phone Number
401-724-8400
Fax Number
401-365-1100
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
CDP00377 (Rhode Island)
Definition
Definition to come...
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