Individual provider · Type 1 NPI
Courtney Michelle Roebuck
Addiction (Substance Use Disorder) Counselor · San Diego, CA
NPI number
1801485370
Active
Practice location
286 Euclid Ave Ste 102
San Diego, CA 92114-3611
Mailing address
4025 Camino Del Rio S Ste 207
San Diego, CA 92108-4108
Other practice locations
- 2410 E St, San Diego, CA 92102-2024 · (619) 234-3346
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R144350921 (CA) |
| Peer Specialist | 175T00000X | None listed |
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 17948 (CA) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1801485370
Courtney Michelle Roebuck's National Provider Identifier is 1801485370, issued on Jan 11, 2021. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in San Diego, CA. The record was last updated on Jun 4, 2024.