Doctor Name: | KURT HRESKO |
NPI Number: | 1366606220 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 303 W Water St Flint, MI - 485035627 |
Business Phone Number: | 8102322766 |
Business Fax Number: | 8102322782 |
Mailing Address: | 70 Lafayette St, PONTIAC |
State: | MI |
Postal Code: | 483422033 |
Phone Number: | 2483387458 |
Fax Number: | 2483387513 |
NPI Enumeration Date: | 07/10/2008 |
NPI Last Update Date: | 07/10/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |