Randy Gardner, CASAC
Randy Gardner, CASAC is an Addiction (Substance Use Disorder) Counselor in Watertown, New York. Licensed in New York. Registered with an NPI since 2008.
- Licensed in
- NY
- In the registry since
- 2008
Practice location Address checks out
595 W Main StWatertown, NY 13601-1335
Phone: (315) 788-1530
Fax: (315) 788-3794
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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 (NY) |
|---|
Record details
| NPI number | 1275780728 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | CASAC |
| Sole proprietor | No |
| NPI enumerated | August 26, 2008 |
| Last updated in NPPES | August 26, 2008 |
| Mailing address | 595 W Main St, Watertown, NY 13601-1335 |
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