MEDICARE: MR. MICHAEL ROBERT HODSON

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	101YM0800X	Mental Health Counselor	160874	CA

General Provider Information

NPI Number	:	1427907617
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL ROBERT HODSON

Provider Business Mailing Address
First Line	:	1806 DOROTHEA AVE
Second Line	:
City	:	FALLBROOK
State	:	CA
Zip	:	92028-4319
Country	:	US
Telephone Number	:	760-473-4400
Fax Number	:

Provider Business Practice Location Address
First Line	:	1806 DOROTHEA AVE
Second Line	:
City	:	FALLBROOK
State	:	CA
Zip	:	92028-4319
Country	:	US
Telephone Number	:	760-473-4400
Fax Number	:

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

Provider Enumeration Date	:	01/22/2026
Last Update Date	:	01/22/2026

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