Individual provider · Type 1 NPI

Randy Gardner, CASAC

Addiction (Substance Use Disorder) Counselor · Watertown, NY

NPI number 1275780728 Active

Practice location

595 W Main St
Watertown, NY 13601-1335

Fax (315) 788-3794

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1275780728

Randy Gardner, CASAC's National Provider Identifier is 1275780728, issued on Aug 26, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Watertown, NY. The record was last updated on Aug 26, 2008.