Doctor Name: | ROBERT NEWTON |
NPI Number: | 1114282282 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | 2481 |
Business Practice Address: | 1251 Pinnacle Church Road Nebo, NC - 287610964 |
Business Phone Number: | 8286593418 |
Business Fax Number: | 8286593291 |
Mailing Address: | Po Box 1149, NEBO |
State: | NC |
Postal Code: | 287610964 |
Phone Number: | 8286593418 |
Fax Number: | 8286593291 |
NPI Enumeration Date: | 07/05/2012 |
NPI Last Update Date: | 07/05/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 2481 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |