Individual
MR. ROBERT MICHAEL GADDY JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CSAC-I
Contact information
Practice address
631 WILLOW CREEK RD, LEICESTER, NC 28748-5646
(828) 318-0148
Mailing address
631 WILLOW CREEK RD, LEICESTER, NC 28748-5646
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CSAC-20931
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
46-3813098
RED OAK RECOVERY
NC
Enumeration date
08/23/2016
Last updated
08/23/2016
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