Provider Demographics
NPI:1689705675
Name:ROBICHAUD, FRANCIS ANTHONY (CADCII CSAC)
Entity Type:Individual
Prefix:MR
First Name:FRANCIS
Middle Name:ANTHONY
Last Name:ROBICHAUD
Suffix:
Gender:M
Credentials:CADCII CSAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:52630 SYLVAN WAY
Mailing Address - Street 2:P.O.BOX 2191
Mailing Address - City:IDYLLWILD
Mailing Address - State:CA
Mailing Address - Zip Code:92549
Mailing Address - Country:US
Mailing Address - Phone:951-659-0676
Mailing Address - Fax:
Practice Address - Street 1:11555 POTRERO RD
Practice Address - Street 2:
Practice Address - City:BANNING
Practice Address - State:CA
Practice Address - Zip Code:92220-6946
Practice Address - Country:US
Practice Address - Phone:800-732-8805
Practice Address - Fax:951-849-9633
Is Sole Proprietor?:No
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CARA846503101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)