Individual
ROBERT J MULSTAY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CADC-R
Contact information
Practice address
1 SERENITY LN, COBURG, OR 97408-9350
(541) 337-1098
Mailing address
539 MADISON ST APT 2, EUGENE, OR 97402-5286
(541) 337-1098
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
T-21-811
OR
Other
Enumeration date
05/07/2021
Last updated
05/07/2021
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