Individual provider · Type 1 NPI
Pamela Ann Gluck, CASAC
Addiction (Substance Use Disorder) Counselor · Port Jervis, NY
NPI number
1871011775
Active
Practice location
17 Sussex Street
Port Jervis, NY 12771
Fax (845) 856-4091
Mailing address
17 Sussex St
Port Jervis, NY 12771-2430
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 33555 (NY) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1871011775
Pamela Ann Gluck, CASAC's National Provider Identifier is 1871011775, issued on Aug 31, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Port Jervis, NY. The record was last updated on Jul 21, 2022.