person
Randyl Shane Chase
Addiction (Substance Use Disorder) Counselor in Canton, New York
NPI 1689232860

Randyl Shane Chase is an Addiction (Substance Use Disorder) Counselor based in Gouverneur, NY and is specialized in Addiction (Substance Use Disorder). Randyl Shane Chase practices in Canton, NY. The NPI Number for Randyl Shane Chase is 1689232860 and holds a License No. 35354 (New York).

The current practice location address for Randyl Shane Chase is 80 State Highway 310 Ste 1, Canton, NY and can be reached out via phone at 315-386-2189.

Location: 80 State Highway 310 Ste 1, Canton, NY, 13642-3270
person
Provider Profile Details
NPI Number
1689232860
Provider Name
Randyl Shane Chase
Credential
Provider Entity Type
Individual
Gender
Male
Address
80 State Highway 310 Ste 1, Canton, NY, 13642-3270
Phone Number
315-386-2189
Fax Number
Provider Enumeration Date
06/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
80 State Highway 310 Ste 1
City
State
Zip
13617-1493
Phone Number
315-386-2189
Fax Number
person
Provider Business Mailing Address Details
Address
80 State Highway 310 Ste 1
City
State
Zip
13617-1493
Phone Number
315-386-2189
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
35354 (New York)
Definition
Definition to come...
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