| Mr Michael J Luck, CASAC | |
|
99 W Main St, Gouverneur, NY 13642-1371 | |
| (315) 386-2189 | |
| (315) 287-0285 |
| Full Name | Mr Michael J Luck |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 99 W Main St, Gouverneur, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245485622 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | CREDENTIAL17925 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Mr Michael J Luck, CASAC 80 State Highway 310, Suite 1, Canton, NY 13617-1493 Ph: (315) 386-2189 | Mr Michael J Luck, CASAC 99 W Main St, Gouverneur, NY 13642-1371 Ph: (315) 386-2189 |
Ellie Donaldson, MENTAL HEALTH COUNSE Counselor Medicare: Not Enrolled in Medicare Practice Location: 154 Hailesboro St, Apt #24, Gouverneur, NY 13642 Phone: 315-783-5081 | |
Ms. Jill A. Brabant, ARNP Counselor Medicare: Accepting Medicare Assignments Practice Location: 28 William St., Gouverneur, NY 13642 Phone: 315-287-2811 Fax: 315-287-4743 | |
Dr. Orville Lewis Eacker, DCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 165 Smith Rd, Gouverneur, NY 13642 Phone: 315-816-2883 |