Devin Ashline, CASAC-T

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Glens Falls, NY

NPI 1740790260 · NPPES record last updated Oct 11, 2017

Key facts

NPI
1740790260
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
32187 (NY)
Practice address
101 Ridge St
Glens Falls, NY 12801-3624
Phone
(518) 926-7200
NPI assigned
Oct 11, 2017
Sex
Male
Sole proprietor
No

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
32187NYMDAddiction (Substance Use Disorder) Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Bobbi L Petranchuk LCSW PLLC Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 32187 NY Yes

Addresses

Primary practice location

101 Ridge St
Glens Falls, NY 12801-3624

Mailing address

101 Ridge St
Glens Falls, NY 12801-3624

Other providers in Glens Falls, NY

All providers in Glens Falls, NY · Addiction (Substance Use Disorder) Counselor in New York

Sources for this page

Verify at the official NPI Registry.