Individual provider · Type 1 NPI
Luke Grisha Ellenberg, C.A.S.A.C.
Addiction (Substance Use Disorder) Counselor · New York, NY
NPI number
1770896128
Active
Practice location
134 Haven Ave Apt 1E
New York, NY 10032-1126
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 21246 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1770896128
Luke Grisha Ellenberg, C.A.S.A.C.'s National Provider Identifier is 1770896128, issued on Jul 14, 2010. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in New York, NY. The record was last updated on Jul 14, 2010.