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Robert Thayne Hake
Addiction (Substance Use Disorder) Counselor in Ukiah, California
NPI 1003022526

Robert Thayne Hake is an Addiction (Substance Use Disorder) Counselor based in Ukiah, CA and is specialized in Addiction (Substance Use Disorder). Robert Thayne Hake practices in Ukiah, CA. The NPI Number for Robert Thayne Hake is 1003022526 and holds a License No. CATC# 071372 (California).

The current practice location address for Robert Thayne Hake is 1120 S Dora St, Ukiah, CA and can be reached out via phone at 707-472-2627.

Location: 1120 S Dora St, Ukiah, CA, 95482-6340
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1003022526
Provider Name
Robert Thayne Hake
Credential
Provider Entity Type
Individual
Gender
Male
Address
1120 S Dora St, Ukiah, CA, 95482-6340
Phone Number
707-472-2627
Fax Number
Provider Enumeration Date
05/14/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
1120 S Dora St
City
Ukiah
State
California
Zip
95482-6340
Phone Number
707-472-2627
Fax Number
person
Provider Business Mailing Address Details
Address
1120 S Dora St
City
Ukiah
State
California
Zip
95482-6340
Phone Number
707-472-2627
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
CATC# 071372 (California)
Definition
Definition to come...
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