Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | MFT108442 | CA |
N | 101YM0800X | Mental Health Counselor | MFT108442 | CA |
NPI | 1003394446 |
---|---|
Provider Name | Mr. Robert Michael Schlesinger |
First Address | Signal Hill, CA 90755-6306 |
Second Address | Lakewood, CA 90712 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 28/07/2018 |
Last Update Date | 23/09/2019 |