Individual provider · Type 1 NPI
Robert David Radosta, EDD MS
Addiction (Substance Use Disorder) Counselor · Waxahachie, TX
NPI number
1104991165
Active
Practice location
206 S Rogers St, Suite 205
Waxahachie, TX 75168-8716
Fax (972) 617-0007
Mailing address
PO Box 2716
Waxahachie, TX 75168-8716
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 11360800 (TX) |
| Mental Health Counselor | 101YM0800X | 2991 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1104991165
Robert David Radosta, EDD MS's National Provider Identifier is 1104991165, issued on Nov 22, 2006. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Waxahachie, TX. The record was last updated on Sep 11, 2025.