Search › Indiana › 101YA0400X
John Krecek, MA,CAADC, MATS, CCJP
NPI 1811388424 · on the registry since 2015 · sole proprietor
Practice
- Address
- 4218 W Western Ave
South Bend, IN 46619 - Phone
- (574) 233-1524
- Organisation at this address
- Victory Clinical Services Ii Llc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 6
Registry record
- Primary taxonomy
- 101YA0400X
101YA0400X
- Also registered as
- 101YA0400X
101YA0400X - Licence states on file
- IL, IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2015-06-26
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Indiana