Individual provider · Type 1 NPI
Michael J. Luck, CASAC
Addiction (Substance Use Disorder) Counselor · Gouverneur, NY
NPI number
1245485622
Active
Practice location
99 W Main St
Gouverneur, NY 13642-1371
Fax (315) 287-0285
Mailing address
80 State Highway 310, Suite 1
Canton, NY 13617-1493
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | CREDENTIAL17925 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
3 other providers at this address
About NPI 1245485622
Michael J. Luck, CASAC's National Provider Identifier is 1245485622, issued on Nov 26, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gouverneur, NY. The record was last updated on May 6, 2010.