Individual provider · Type 1 NPI

Robert Allen Hartsock, CDP

Addiction (Substance Use Disorder) Counselor · Tulalip, WA

NPI number 1336398957 Active

Practice location

2821 Mission Hill Rd
Tulalip, WA 98271-9706

Fax (360) 651-4404

Mailing address

1326 Potlatch Beach Rd
Tulalip, WA 98271-6837

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCP 00005456 (WA)
Addiction (Substance Use Disorder) Counselor 101YA0400X976152 (OH)

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

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About NPI 1336398957

Robert Allen Hartsock, CDP's National Provider Identifier is 1336398957, issued on Sep 18, 2008. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Tulalip, WA. The record was last updated on Sep 18, 2008.