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

Stacy Roudebush

Individual provider Substance Abuse Rehabilitation Facility · NPI 1730559303

Stacy Roudebush is a Substance Abuse Rehabilitation Facility in Rohnert Park, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2015
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Practice location Address checks out

308 Firethorn Dr
Rohnert Park, CA 94928-1321
Phone: (619) 723-0385
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Substance Abuse Rehabilitation Facility (primary) Taxonomy 324500000X · Licence B6655711 (CA)

Record details

NPI number1730559303
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedSeptember 25, 2015
Last updated in NPPESSeptember 25, 2015

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