Mr. Michael J. Luck, CASAC

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1245485622

Mr. Michael J. Luck, CASAC is an Addiction (Substance Use Disorder) Counselor in Gouverneur, New York. Licensed in New York. Registered with an NPI since 2008.

Licensed in: NY
In the registry since: 2008

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Practice location Address checks out

99 W Main St
Gouverneur, NY 13642-1371
Phone: (315) 386-2189
Fax: (315) 287-0285

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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary)	Taxonomy 101YA0400X · Licence CREDENTIAL17925 (NY)

Record details

NPI number	1245485622
Entity type	Individual (Type 1)
Gender	Male
Credentials	CASAC
Sole proprietor	No
NPI enumerated	November 26, 2008
Last updated in NPPES	May 6, 2010
Mailing address	80 State Highway 310, Suite 1, Canton, NY 13617-1493