JEREMY KREKULA
NPI 1598362014
Counselor - Addiction (Substance Use Disorder) in Stewartville, MN
Active since October 07, 2020
About Jeremy Krekula NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY KREKULA (NPI 1598362014) is an individual addiction (substance use disorder) provider in Stewartville, Minnesota, licensed in Minnesota (304745) and active in the NPI registry since October 2020.
NPPES Registry Identity
NPI1598362014
Entity TypeIndividualMale
Primary Taxonomy101YA0400X
Provider Legal NameJEREMY KREKULA
Location Address102 MAIN ST N STE 100Stewartville, MN 55976-2608
Mailing Address102 Main St N Ste 100Stewartville, MN 55976-2608 · (507) 218-7114
Phone(507) 218-7114
Sole ProprietorYes
Enumeration DateOctober 7, 2020
NPPES CertifiedSeptember 28, 2020
✔ NPI 1598362014 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MN · 304745
102 MAIN ST N STE 100, Stewartville, MN 55976
Other Names 1
Professional Name (2)Jeremy Erwin Danie Krekula Ladc
Other Identifiers 1
Other304745MN · Minnesota Board Of Behavioal Health
Group Practice 1
Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1598362014, enumerated as an "individual" on October 07, 2020.
The provider is located at 102 MAIN ST N STE 100 STEWARTVILLE, MN 55976 and the phone number is (507) 218-7114.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.
