Individual
ELLYN KRAVETTE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW, CADC,CFAE,CEAP
Contact information
Practice address
710 FRABLE RD, BRODHEADSVILLE, PA 18322-7718
(570) 764-4706
Mailing address
710 FRABLE ROAD, BRODHEADSVILLE, PA 18322
(570) 764-4706
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
4776
PA
101YA0400X
Addiction (Substance Use Disorder) Counselor
7786
NY
104100000X
Social Worker
SW012506L
PA
Other
Enumeration date
10/02/2006
Last updated
04/05/2012
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