Individual provider · NPI-1

Robert Acosta Jr.

Counselor, Addiction (Substance Use Disorder) · Fresno, CA

NPI number1831378876
StatusActive
Last updated in NPPESNov 13, 2024

Details

NPI
1831378876
Entity type
Individual (NPI-1)
Name
Robert Acosta Jr.
Sex
Male
Sole proprietor
No
Enumeration date
Oct 26, 2007
Certification date
Nov 13, 2024
Last updated
Nov 13, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)6946CAYes

Practice location

3103 E Cartwright Ave
Fresno, CA 93725-9385

Phone 559-498-7100

Mailing address

3103 E Cartwright Ave
Fresno, CA 93725-9385

Phone 559-498-7100

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