| Randyl Shane Chase, | |
|
80 State Highway 310 Ste 1, Canton, NY 13617-1493 | |
| (315) 386-2189 | |
| Not Available |
| Full Name | Randyl Shane Chase |
|---|---|
| Gender | Male |
| Speciality | Counselor - Addiction (substance Use Disorder) |
| Location | 80 State Highway 310 Ste 1, Canton, New York |
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689232860 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | 35354 (New York) | Primary |
| Mailing Address | Practice Location Address |
|---|---|
| Randyl Shane Chase, 136 Wilson St, Gouverneur, NY 13642-3270 Ph: (315) 573-6689 | Randyl Shane Chase, 80 State Highway 310 Ste 1, Canton, NY 13617-1493 Ph: (315) 386-2189 |
Ms. Jacqueline Schwartz, LMHC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5862 Sh 11, Canton, NY 13617 Phone: 315-379-0805 | |
Ms. Mavis A Bush, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2189 Fax: 315-386-2435 | |
Meghan Vollmer, MHC-P Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 St Hwy 310 Ste 1, Canton, NY 13617 Phone: 315-386-2167 | |
Morolake Odetoyinbo, Counselor Medicare: Medicare Enrolled Practice Location: 23 Church St, Canton, NY 13617 Phone: 240-507-2585 | |
Ms. Ruthann M Matthews, CASAC Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2189 Fax: 315-386-2435 | |
Ms. Nereida Diaz, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2167 Fax: 315-386-2435 | |
Mr. Bryan J Moore, Counselor Medicare: Not Enrolled in Medicare Practice Location: 80 State Highway 310, Suite 1, Canton, NY 13617 Phone: 315-386-2189 Fax: 315-386-2435 |