| Doctor Name: | MR. JOHN F. REDDY |
| NPI Number: | 1013230572 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | SOCIAL WORKER |
| License Number: | R046950 |
| Business Practice Address: | 331 West Ave Saratoga Springs, NY - 128665906 |
| Business Phone Number: | 5185830306 |
| Business Fax Number: | 5185830176 |
| Mailing Address: | 331 West Avenue, SARATOGA SPRINGS |
| State: | NY |
| Postal Code: | 12866 |
| Phone Number: | 5185830306 |
| Fax Number: | 5185830176 |
| NPI Enumeration Date: | 03/11/2010 |
| NPI Last Update Date: | 03/11/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | R046950 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |