Individual
LARRY CONDRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
1601 SW ARCHER ROAD, GAINESVILLE, FL 32608
(352) 371-1611
(352) 271-4574
Mailing address
816 NE 10TH PLACE, GAINESVILLE, FL 32601
(352) 264-7897
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
1290
FL
Other
Enumeration date
09/15/2006
Last updated
07/21/2022
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