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ROBERT MARK ANDRUES SUBSTANCE USE DISORD

Addiction (Substance Use Disorder) >> Counselor >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1659042133

Individual Registrant:
 ROBERT MARK ANDRUES SUBSTANCE USE DISORD
Gender: M
Not Sole Proprietor

Location and contact information for practice:
13333 PALMDALE RD  VICTORVILLE, CA 92392-9364 US
Tel: 760-241-4917  Fax: --

Contact information for business:
13333 PALMDALE RD  VICTORVILLE, CA 92392-9364 US
Tel: 760-241-4917  Fax: --

Registration Information:
NPI: 1659042133
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y101YA0400XBehavioral Health & Social Service Providers
Counselor
Addiction (Substance Use Disorder)
CAR1438360721

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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