Robert Cobb, RADT

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

NPI 1477288751 · NPPES record last updated Jul 20, 2022

Key facts

NPI
1477288751
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
750 Spaans Dr Ste C
Galt, CA 95632-8609
Phone
(209) 744-9099
Fax
(209) 744-9910
NPI assigned
Jul 20, 2022
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

Specialties & licenses

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

Addresses

Primary practice location

750 Spaans Dr Ste C
Galt, CA 95632-8609

Mailing address

750 Spaans Dr Ste C
Galt, CA 95632-8609
Phone (209) 744-9099

Other providers in Galt, CA

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

Sources for this page

Verify at the official NPI Registry.