LUKE GRISHA ELLENBERG

NEW YORK, NY
NPI1770896128
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
(Licence: NY  21246)
Enumeration Date2010-07-14
Last Update Date2010-07-14
Business Address
Mr. LUKE GRISHA ELLENBERG C.A.S.A.C.
134 HAVEN AVE APT 1E
NEW YORK, NY 10032-1126
Phone number: 718-869-1086
Mailing Address
Mr. LUKE GRISHA ELLENBERG C.A.S.A.C.
134 HAVEN AVE APT 1E
NEW YORK, NY 10032-1126
Phone number: 718-869-1086