Individual provider · Type 1 NPI
Elaine Gram
Addiction (Substance Use Disorder) Counselor · Berkeley, CA
NPI number
1699192369
Active
Practice location
1942 University Ave Ste 208
Berkeley, CA 94704-1073
Fax (510) 666-9099
Mailing address
417 Spruce St
Berkeley, CA 94708-1222
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1699192369
Elaine Gram's National Provider Identifier is 1699192369, issued on Mar 19, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Berkeley, CA. The record was last updated on Mar 19, 2014.