Individual provider · Type 1 NPI

Joan E. Ettinger, CASAC

Addiction (Substance Use Disorder) Counselor · Northport, NY

NPI number 1821382763 Active

Practice location

64 S Harbor Rd
Northport, NY 11768-1178

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X3855 (NY)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1821382763

Joan E. Ettinger, CASAC's National Provider Identifier is 1821382763, issued on Jun 8, 2011. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Northport, NY. The record was last updated on Jun 8, 2011.