Provider Demographics
NPI:1740093905
Name:KRETSCH-GUTHMILLER, CASSANDRA ELIZABETH (MSW, CSW, LAC)
Entity type:Individual
Prefix:
First Name:CASSANDRA
Middle Name:ELIZABETH
Last Name:KRETSCH-GUTHMILLER
Suffix:
Gender:F
Credentials:MSW, CSW, LAC
Other - Prefix:
Other - First Name:CASSANDRA
Other - Middle Name:ELIZABETH
Other - Last Name:KRETSCH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:317 CO HWY 106
Mailing Address - Street 2:
Mailing Address - City:TEA
Mailing Address - State:SD
Mailing Address - Zip Code:57064
Mailing Address - Country:US
Mailing Address - Phone:507-766-6638
Mailing Address - Fax:
Practice Address - Street 1:317 CO HWY 106
Practice Address - Street 2:
Practice Address - City:TEA
Practice Address - State:SD
Practice Address - Zip Code:57064
Practice Address - Country:US
Practice Address - Phone:507-766-6638
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SD6749104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker