| Roubicek & Thacker | |
|
1879 E Fir Ave Suite 103 Fresno CA 93720-3861 | |
| (559) 323-8484 | |
| (559) 323-8686 |
| Full Name | Roubicek & Thacker |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1879 E Fir Ave, Fresno, California |
| Authorized Official Name and Position | Michael C Roubicek (OWNER) |
| Authorized Official Contact | 5593238484 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Roubicek & Thacker 1879 E Fir Ave Suite 103 Fresno CA 93720-3861 Ph: (559) 323-8484 | Roubicek & Thacker 1879 E Fir Ave Suite 103 Fresno CA 93720-3861 Ph: (559) 323-8484 |
| NPI Number | 1023282449 |
|---|---|
| Provider Enumeration Date | 04/16/2008 |
| Last Update Date | 04/16/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023282449 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (California) | Primary |
| 106H00000X | Marriage & Family Therapist | (California) | Secondary |
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