| Doctor Name: | ELLYN KRAVETTE |
| NPI Number: | 1972696664 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MSW, CADC,CFAE,CEAP |
| License Number: | 7786 |
| Business Practice Address: | 710 Frable Rd Brodheadsville, PA - 183227718 |
| Business Phone Number: | 5707644706 |
| Business Fax Number: | |
| Mailing Address: | 710 Frable Road, BRODHEADSVILLE |
| State: | PA |
| Postal Code: | 18322 |
| Phone Number: | 5707644706 |
| Fax Number: | |
| NPI Enumeration Date: | 10/02/2006 |
| NPI Last Update Date: | 04/05/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 7786 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |