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Robert Lee Housden, RAS

Counselor, Addiction (Substance Use Disorder) in Modesto, CA. Individual provider (NPI-1).

NPI number1861832016
StatusActive
Last updated in NPPESJul 2, 2013

Details

NPI
1861832016
Entity type
Individual (NPI-1)
Name
Mr. Robert Lee Housden
Credential
RAS
Sex
Male
Sole proprietor
Yes
Enumeration date
Jul 2, 2013
Last updated
Jul 2, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)500010BNCAYes

Practice location

3125 McHenry Ave
Suite D
Modesto, CA 95350-1451

Phone 209-523-6910 · Fax 209-523-6912

Mailing address

3125 McHenry Ave
Suite D
Modesto, CA 95350-1451

Phone 209-523-6910 · Fax 209-523-6912

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