Individual provider · Type 1 NPI
Robert Boback, LADC
Addiction (Substance Use Disorder) Counselor · Fairfield, CT
NPI number
1326716689
Active
Practice location
76 Lewis Dr
Fairfield, CT 06825-1920
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 44.001421 (CT) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Fairfield
About NPI 1326716689
Robert Boback, LADC's National Provider Identifier is 1326716689, issued on Sep 1, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Fairfield, CT. The record was last updated on Sep 1, 2021.