Individual provider · Type 1 NPI

Randall Cheeseborough

Addiction (Substance Use Disorder) Counselor · Carmel, NY

NPI number 1649848805 Active

Practice location

21 Old Route 6
Carmel, NY 10512-2107

Mailing address

57 Middle Ave
Shelton, CT 06484-3949

Other practice locations

  • 3584 Jerome Ave, Bronx, NY 10467-1006 · (718) 653-1537

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X22275 (NY)

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

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About NPI 1649848805

Randall Cheeseborough's National Provider Identifier is 1649848805, issued on Jun 15, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Carmel, NY. The record was last updated on Apr 29, 2024.