Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Shannon Dwayne Kretz, AA, CDPT

Individual provider Counselor · NPI 1861977936

Shannon Dwayne Kretz, AA, CDPT is a Counselor in Kelso, Washington. Licensed in Washington. Registered with an NPI since 2018.

Licensed in
WA
In the registry since
2018
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Practice location Address checks out

309 Oak St
Kelso, WA 98626-2340
Phone: (360) 423-0203
Fax: (360) 577-7904
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Counselor (primary) Taxonomy 101Y00000X · Licence 60871961 (WA)

Record details

NPI number1861977936
Entity typeIndividual (Type 1)
GenderMale
Credentials AA , CDPT
Sole proprietorNo
NPI enumeratedSeptember 25, 2018
Last updated in NPPESFebruary 5, 2019

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