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Dr. Robert David Radosta, EDDMS
Mental Health Counselor in Waxahachie, Texas
NPI 1104991165

Robert David Radosta is a Mental Health Counselor based in Waxahachie, TX and is specialized in Mental Health. Robert David Radosta practices in Waxahachie, TX and has the professional credentials of EDDMS. The NPI Number for Robert David Radosta is 1104991165 and holds a License No. 11360800 (Texas).

The current practice location address for Robert David Radosta is 206 S Rogers St, Waxahachie, TX and can be reached out via phone at 972-816-8772 and via fax at 972-617-0007.

Location: 206 S Rogers St, Waxahachie, TX, 75168-8716
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1104991165
Provider Name
Robert David Radosta
Credential
EDDMS
Provider Entity Type
Individual
Gender
Male
Address
206 S Rogers St, Waxahachie, TX, 75168-8716
Phone Number
972-816-8772
Fax Number
972-617-0007
Provider Enumeration Date
11/22/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0952665 05 TX
institution
Provider Business Practice Location Address Details
Address
206 S Rogers St
City
Waxahachie
State
Texas
Zip
75168-8716
Phone Number
972-816-8772
Fax Number
972-617-0007
person
Provider Business Mailing Address Details
Address
206 S Rogers St
City
Waxahachie
State
Texas
Zip
75168-8716
Phone Number
972-816-8772
Fax Number
972-617-0007
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
2991 (Texas)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
11360800 (Texas)
Definition
Definition to come...
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