Individual
DR. ROBERT DAVID RADOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD MS
Contact information
Practice address
206 S ROGERS ST, SUITE 205, WAXAHACHIE, TX 75168-8716
(972) 816-8772
(972) 617-0007
Mailing address
PO BOX 2716, WAXAHACHIE, TX 75168-8716
(972) 816-8772
(972) 617-0007
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11360800
TX
101YM0800X
Mental Health Counselor
2991
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0952665
—
TX
Enumeration date
11/22/2006
Last updated
09/11/2025
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