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Robert Blumenthal

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

NPI number1982258513
StatusActive
Last updated in NPPESJul 31, 2019

Details

NPI
1982258513
Entity type
Individual (NPI-1)
Name
Robert Blumenthal
Sex
Male
Sole proprietor
No
Enumeration date
Jul 31, 2019
Last updated
Jul 31, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
101YA0400X Counselor, Addiction (Substance Use Disorder)––Yes

Practice location

43485 Hollyhock St
Indio, CA 92201-1976

Phone 760-619-2860

Mailing address

1612 1st St
Coachella, CA 92236-1407

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