COURTNEY MICHELLE ROEBUCK NPI 1801485370

NPI Information

NPI: 1801485370
Provider Name: COURTNEY MICHELLE ROEBUCK
Classification: Counselor - 101YA0400X
Entity Type: Individual

Specialization: Addiction (Substance Use Disorder)

Address:
2410 E ST
SAN DIEGO, CA
ZIP 92102
Phone: (619) 234-3346
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Courtney Michelle Roebuck is an addiction (substance use disorder) counselor in San Diego, CA. Courtney Michelle Roebuck NPI is 1801485370. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2410 E ST
SAN DIEGO, CA
ZIP 92102-024
Phone: (619) 234-3346

The enumeration date for this NPI number is 1/11/2021 and was last updated on 9/15/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	175T00000X	Peer Specialist				No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	R144350921	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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