Individual provider · Type 1 NPI

Randolph Outlaw, CASAC

Addiction (Substance Use Disorder) Counselor · Brooklyn, NY

NPI number 1669522256 Active

Practice location

2857 W 8th St
Brooklyn, NY 11224-3604

Call (718) 265-4200 Map

Fax (718) 265-8536

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X11554 (NY)

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

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About NPI 1669522256

Randolph Outlaw, CASAC's National Provider Identifier is 1669522256, issued on Jan 12, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Brooklyn, NY. The record was last updated on Jul 8, 2007.