Individual
MR. ROBERT ALLEN HARTSOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CDP
Contact information
Practice address
2821 MISSION HILL RD, TULALIP, WA 98271-9706
(360) 716-4313
(360) 651-4404
Mailing address
1326 POTLATCH BEACH RD, TULALIP, WA 98271-6837
(360) 716-4313
(360) 651-4404
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
976152
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP 00005456
WA
Other
Enumeration date
09/18/2008
Last updated
09/18/2008
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