Individual provider · Type 1 NPI
Ellyn Kravette, MSW, CADC, CFAE, CEAP
Addiction (Substance Use Disorder) Counselor · Brodheadsville, PA
NPI number
1972696664
Active
Practice location
710 Frable Rd
Brodheadsville, PA 18322-7718
Mailing address
710 Frable Road
Brodheadsville, PA 18322
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | 7786 (NY) |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 4776 (PA) |
| Social Worker | 104100000X | SW012506L (PA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
About NPI 1972696664
Ellyn Kravette, MSW, CADC, CFAE, CEAP's National Provider Identifier is 1972696664, issued on Oct 2, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brodheadsville, PA. The record was last updated on Apr 5, 2012.