Lucas Michael McRoberts, RADT
Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Lotus, CA
NPI 1013411933 · NPPES record last updated Mar 23, 2018
Key facts
- NPI
- 1013411933
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Addiction (Substance Use Disorder) Counselor 101YA0400X
- License
- R1281771117 (CA)
- Practice address
- 838 Beach CT
Lotus, CA 95651-9565 - Phone
- (530) 626-7252
- NPI assigned
- Mar 23, 2018
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R1281771117 | CA | MD | Addiction (Substance Use Disorder) Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Addiction (Substance Use Disorder) Counselor | 101YA0400X | R1281771117 | CA | Yes |
Addresses
Primary practice location
838 Beach CT
Lotus, CA 95651-9565
Mailing address
PO Box 437
Coloma, CA 95613-0437
Phone (530) 626-7252
Other providers in Lotus, CA
- Kristina Donsbach
- Brangwyn Ursula Foley
- Daniel Lawrence Gilliland
- Anthony James Gonzalez
- Karen Ruth Kelleher
- Mike Moreland
- Brittany Marie Munoz
- Haley Marie Paolucci
- Colleen D Ranalli
- Renee Elaine Rose-Lynville
All providers in Lotus, CA · Addiction (Substance Use Disorder) Counselor in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 23, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.