Individual provider · Type 1 NPI
John S. Gravitt, LCSW
Addiction (Substance Use Disorder) Counselor · Louisville, KY
NPI number
1013030634
Active
Practice location
1028 Barret Ave
Louisville, KY 40204-1667
Fax (502) 451-1337
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | KY-1150 (KY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1013030634
John S. Gravitt, LCSW's National Provider Identifier is 1013030634, issued on Apr 9, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Louisville, KY. The record was last updated on Jul 8, 2007.