person
Robert Eugene Gideon
Addiction (Substance Use Disorder) Counselor in San Diego, California
NPI 1215616768

Robert Eugene Gideon is an Addiction (Substance Use Disorder) Counselor based in Imperial Beach, CA and is specialized in Addiction (Substance Use Disorder). Robert Eugene Gideon practices in San Diego, CA. The NPI Number for Robert Eugene Gideon is 1215616768 and holds a License No. R1455910122 (California).

The current practice location address for Robert Eugene Gideon is 1501 Imperial Ave, San Diego, CA and can be reached out via phone at 619-865-1454.

Location: 1501 Imperial Ave, San Diego, CA, 91932-2504
person
Provider Profile Details
NPI Number
1215616768
Provider Name
Robert Eugene Gideon
Credential
Provider Entity Type
Individual
Gender
Male
Address
1501 Imperial Ave, San Diego, CA, 91932-2504
Phone Number
619-865-1454
Fax Number
Provider Enumeration Date
07/12/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1501 Imperial Ave
City
State
Zip
92101-7638
Phone Number
619-865-1454
Fax Number
person
Provider Business Mailing Address Details
Address
1501 Imperial Ave
City
State
Zip
92101-7638
Phone Number
619-865-1454
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
License No.
R1455910122 (California)
Definition
Definition to come...
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