CAROL MARIE KRETZMANN LPC
NPI 1033163175
Counselor - Professional in Conway, AR
Active since May 22, 2006
About Carol Marie Kretzmann Lpc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CAROL MARIE KRETZMANN LPC (NPI 1033163175) is an individual professional provider in Conway, Arkansas, licensed in Arkansas (P0802018) and active in the NPI registry since May 2006.
NPPES Registry Identity
NPI1033163175
Entity TypeIndividualFemale
Primary Taxonomy101YP2500X
Provider Legal NameCAROL MARIE KRETZMANNCredential: LPC
Location Address132 LOWER RIDGE RDConway, AR 72032-8518
Mailing AddressPo Box 1589Benton, AR 72018-1589 · (501) 315-3344
Phone(501) 548-9905
Sole ProprietorNo
Enumeration DateMay 22, 2006
Last NPPES UpdateMay 13, 2009
✔ NPI 1033163175 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · ProfessionalBehavioral Health & Social Service Providers
Taxonomy Code101YP2500X
License✔ Licensed in AR · P0802018
132 LOWER RIDGE RD, Conway, AR 72032
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Case Manager/Care Coordinator
132 LOWER RIDGE RD
CONWAY, AR 72032
CONWAY, AR 72032
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1033163175, enumerated as an "individual" on May 22, 2006.
The provider is located at 132 LOWER RIDGE RD CONWAY, AR 72032 and the phone number is (501) 548-9905.
Counselor with taxonomy code 101YP2500X and a focus in Professional.