person
Randy Gardner, CASAC
Addiction (Substance Use Disorder) Counselor in Watertown, New York
NPI 1275780728

Randy Gardner is an Addiction (Substance Use Disorder) Counselor based in Watertown, NY and is specialized in Addiction (Substance Use Disorder). Randy Gardner practices in Watertown, NY and has the professional credentials of CASAC. The NPI Number for Randy Gardner is 1275780728 and holds a License No. (New York).

The current practice location address for Randy Gardner is 595 W Main St, Watertown, NY and can be reached out via phone at 315-788-1530 and via fax at 315-788-3794.

Location: 595 W Main St, Watertown, NY, 13601-1335
person
Provider Profile Details
NPI Number
1275780728
Provider Name
Randy Gardner
Credential
CASAC
Provider Entity Type
Individual
Gender
Male
Address
595 W Main St, Watertown, NY, 13601-1335
Phone Number
315-788-1530
Fax Number
315-788-3794
Provider Enumeration Date
08/26/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
02921011 05 NY
institution
Provider Business Practice Location Address Details
Address
595 W Main St
City
State
Zip
13601-1335
Phone Number
315-788-1530
Fax Number
315-788-3794
person
Provider Business Mailing Address Details
Address
595 W Main St
City
State
Zip
13601-1335
Phone Number
315-788-1530
Fax Number
315-788-3794
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
(New York)
Definition
Definition to come...
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