Randolph Outlaw, CASAC
Randolph Outlaw, CASAC is an Addiction (Substance Use Disorder) Counselor in Brooklyn, New York. Licensed in New York. Registered with an NPI since 2007.
- Licensed in
- NY
- In the registry since
- 2007
Practice location Address checks out
2857 W 8th StBrooklyn, NY 11224-3604
Phone: (718) 265-4200
Fax: (718) 265-8536
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Addiction (Substance Use Disorder) Counselor (primary) | Taxonomy 101YA0400X · Licence 11554 (NY) |
|---|
Record details
| NPI number | 1669522256 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CASAC |
| Sole proprietor | No |
| NPI enumerated | January 12, 2007 |
| Last updated in NPPES | July 8, 2007 |
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