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

Individual provider Addiction (Substance Use Disorder) Counselor · NPI 1598362535

Robert William Daughenbaugh Jr., LISAC is an Addiction (Substance Use Disorder) Counselor in Phoenix, Arizona. Practices as a sole proprietor and works from 2 locations. Licensed in Arizona.

Licensed in
AZ
In the registry since
2020
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Practice location Address checks out

3420 E Shea Blvd
Phoenix, AZ 85028-3345
Phone: (602) 730-5206
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 3914 E Cortez St, Phoenix, AZ 85028-2122 — (859) 319-7030

Specialties & licences

Addiction (Substance Use Disorder) Counselor (primary) Taxonomy 101YA0400X · Licence 155280 (AZ)

Record details

NPI number1598362535
Entity typeIndividual (Type 1)
GenderMale
Credentials LISAC
Sole proprietorYes
NPI enumeratedOctober 2, 2020
Last updated in NPPESJuly 16, 2024
Certification dateJuly 16, 2024

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