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Randall Cheeseborough
Addiction (Substance Use Disorder) Counselor in Carmel, New York
NPI 1649848805

Randall Cheeseborough is an Addiction (Substance Use Disorder) Counselor based in Glenville, NY and is specialized in Addiction (Substance Use Disorder). Randall Cheeseborough practices in Carmel, NY. The NPI Number for Randall Cheeseborough is 1649848805 and holds a License No. 22275 (New York).

The current practice location address for Randall Cheeseborough is 21 Old Route 6, Carmel, NY and can be reached out via phone at 845-225-5202.

Location: 21 Old Route 6, Carmel, NY, 12302-4523
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649848805
Provider Name
Randall Cheeseborough
Credential
Provider Entity Type
Individual
Gender
Male
Address
21 Old Route 6, Carmel, NY, 12302-4523
Phone Number
845-225-5202
Fax Number
Provider Enumeration Date
06/15/2021
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
01420795 05 NY
institution
Provider Business Practice Location Address Details
Address
21 Old Route 6
City
Carmel
State
New York
Zip
10512-2107
Phone Number
845-225-5202
Fax Number
person
Provider Business Mailing Address Details
Address
21 Old Route 6
City
Carmel
State
New York
Zip
10512-2107
Phone Number
845-225-5202
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
22275 (New York)
Definition
Definition to come...
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