Robert Demelo

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Visalia, CA

NPI 1033679261 · NPPES record last updated Mar 22, 2019

Key facts

NPI
1033679261
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
1731 W Walnut Ave
Visalia, CA 93277-6232
Phone
(559) 732-4885
NPI assigned
Mar 22, 2019
Sex
Male
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Central Valley Recovery Services, Inc. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

1731 W Walnut Ave
Visalia, CA 93277-6232

Mailing address

1731 W Walnut Ave
Visalia, CA 93277-6232
Phone (559) 732-4885

Other providers in Visalia, CA

All providers in Visalia, CA · Addiction (Substance Use Disorder) Counselor in California

Sources for this page

Verify at the official NPI Registry.