Kretvix, Hannah
Kretvix, Hannah is an individual health care provider with primary practice located at 383 E Allen St Apt B , Winooski VT 05404-1560. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kretvix, Hannah can be contacted via phone (802) 345-7785.Contact Information
Primary practice address
383 E Allen St Apt B
Winooski VT 05404-1560
Phone: (802) 345-7785
Fax: (802) 488-6919
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) | 101YA0400X | 151-0134088 | Vermont |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 089.134472 | Vermont |
Profile Details
| NPI number | 1922648369 |
|---|---|
| LBN Legal business name | Kretvix, Hannah |
| Credentials | LADC |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 14th, 2020 |
| Last updated | Jan 6th, 2022 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1922648369 | NPPES |
| Vermont | MEDICAID | 6702805 |
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