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Individual

ATHENA RENE ROBERTSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
12390 GOLDEN STATE BLVD, MADERA, CA 93637-9156
(559) 660-4600
Mailing address
12390 GOLDEN STATE BLVD, MADERA, CA 93637-9156
(559) 660-4600

Taxonomy

Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
CA
175T00000X
Peer Specialist
Primary
MPSS-JGESAK
CA
373H00000X
Day Training/Habilitation Specialist
CA

Other

Enumeration date
04/10/2025
Last updated
02/08/2026
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