Individual
ROBERT STEPHEN HENDRICKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
3552 SANTA MARIA ST, OCEANSIDE, CA 92056-3905
(760) 917-2657
Mailing address
1738 S TREMONT ST, OCEANSIDE, CA 92054-5309
(760) 439-2800
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
01/13/2021
Last updated
01/24/2024
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