Individual provider · Type 1 NPI

Larry Condra

Addiction (Substance Use Disorder) Counselor · Gainesville, FL

NPI number 1447356738 Active

Practice location

1601 SW Archer Road
Gainesville, FL 32608

Fax (352) 271-4574

Mailing address

816 NE 10th Place
Gainesville, FL 32601

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X1290 (FL)

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

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About NPI 1447356738

Larry Condra's National Provider Identifier is 1447356738, issued on Sep 15, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Gainesville, FL. The record was last updated on Jul 21, 2022.