MEDICARE: MR. ROBERT WILLIAM STEELE JR. LCDC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	17606	TX

General Provider Information

NPI Number	:	1255275137
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT WILLIAM STEELE JR. LCDC

Provider Business Mailing Address
First Line	:	7731 CROOKED ROAD ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78254-2614
Country	:	US
Telephone Number	:	210-421-0113
Fax Number	:

Provider Business Practice Location Address
First Line	:	7731 CROOKED ROAD ST
Second Line	:
City	:	SAN ANTONIO
State	:	TX
Zip	:	78254-2614
Country	:	US
Telephone Number	:	210-421-0113
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/20/2026
Last Update Date	:	04/20/2026

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