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

Robert Eugene Gideon, RADT

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1215616768

Robert Eugene Gideon, RADT is an Addiction (Substance Use Disorder) Counselor in San Diego, California. Licensed in California. Registered with an NPI since 2023.

Licensed in
CA
In the registry since
2023

Practice location Address checks out

1501 Imperial Ave
San Diego, CA 92101-7638
Phone: (619) 865-1454
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence R1455910122 (CA)

Record details

NPI number1215616768
Entity typeIndividual (Type 1)
GenderMale
Credentials RADT
Sole proprietorNo
NPI enumeratedJuly 12, 2023
Last updated in NPPESJuly 21, 2025
Certification dateJuly 12, 2023

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