Individual
ROBERT DAVID NOVACK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
AMFT APCC
Contact information
Practice address
409 CAMINO DEL RIO S STE 201, SAN DIEGO, CA 92108-3505
(619) 346-4020
Mailing address
PO BOX 2138, RAMONA, CA 92065-0936
(925) 548-5206
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
9597
CA
106H00000X
Marriage & Family Therapist
125841
CA
Other
Enumeration date
10/03/2019
Last updated
04/19/2024
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