Individual provider · Type 1 NPI
Michael Ketter
Addiction (Substance Use Disorder) Counselor · Brooklyn, NY
NPI number
1922537976
Active
Practice location
147 Prince Street, Living Positive
Brooklyn, NY 11201-9999
Mailing address
2179 Washington Ave Apt 5
Bronx, NY 10457-2521
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | None listed |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Another provider at this address
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About NPI 1922537976
Michael Ketter's National Provider Identifier is 1922537976, issued on Jun 5, 2017. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brooklyn, NY. The record was last updated on Jun 5, 2017.