Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Mr. Robert Edmund Mautte Jr.

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1417622036

Mr. Robert Edmund Mautte Jr. is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021

Practice location Address checks out

4141 Pacific Hwy
San Diego, CA 92110-2030
Phone: (619) 209-4691
Fax: (619) 393-2060
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X (CA)

Record details

NPI number1417622036
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedAugust 16, 2021
Last updated in NPPESAugust 16, 2021
Certification dateAugust 16, 2021

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