MILES ROBERTS

SAN RAFAEL, CA
NPI1275167744
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date2020-02-24
Last Update Date2020-02-28
Business Address
MILES ROBERTS
1601 2ND ST STE 104
SAN RAFAEL, CA 94901-2701
Phone number: 415-456-6655
Mailing Address
MILES ROBERTS
959 34TH ST
OAKLAND, CA 94608-4211
Phone number: