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
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 1290 (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.