ROBERT THAYNE HAKE

UKIAH, CA
NPI1003022526
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor Addiction (Substance Use Disorder)
(Licence: CA  CATC# 071372)
Enumeration Date2007-05-14
Last Update Date2007-07-08
Business Address
ROBERT THAYNE HAKE
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number: 707-472-2627
Mailing Address
ROBERT THAYNE HAKE
1120 S DORA ST
UKIAH, CA 95482-6340
Phone number:
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