Healthcare Provider Details

I. General information

NPI: 1326956368
Provider Name (Legal Business Name): ROBERT WILLIAM SEXTON
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3400 EMERSON ST
CLEARLAKE CA
95422-9529
US

IV. Provider business mailing address

3400 EMERSON ST
CLEARLAKE CA
95422-9529
US

V. Phone/Fax

Practice location:
  • Phone: 707-727-8368
  • Fax:
Mailing address:
  • Phone: 707-905-0475
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License Number26646
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: