Individual provider · Type 1 NPI

Roberta Michaelis

Addiction (Substance Use Disorder) Counselor · San Pedro, CA

NPI number 1194149138 Active

Practice location

599 W 9th St
San Pedro, CA 90731-3105

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1194149138

Roberta Michaelis's National Provider Identifier is 1194149138, issued on Feb 11, 2014. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Pedro, CA. The record was last updated on Feb 11, 2014.