Walter Eugene Roberson JR. MA,LPC

NPI 1053463638 - Counselor - 101YM0800X

NPI Details
NPI 1053463638
Gender Male
Enumeration Date 01/17/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 10 years ago
Practice Location
4507B LACLEDE AVE
SAINT LOUIS MO, 63108-2103, US
Phone (314) 361-4673
Fax (314) 361-6649
Business Location
2036 HONEY RIDGE CT
CHESTERFIELD MO, 63017-7602, US
Phone (314) 361-4673
Fax (314) 361-6649
Toxanomy
Taxonomy Code 101YM0800X
License State Missouri
License Number 001977
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According to our database, Walter Eugene Roberson JR. MA,LPC NPI is 1053463638, taxonomy code is 101YM0800X and license number is 001977, license state is located at Missouri. Walter Eugene Roberson JR. MA,LPC physically located at 4507b Laclede Ave, Saint Louis MO, 63108-2103. NPI Number Walter Eugene Roberson JR. MA,LPC has the Individual type.

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1053463638 NPI number is provided on an as is basis without warranty of any kind. 1053463638 is maintained by the National Plan & Provider Enumeration System. The contents of Walter Eugene Roberson JR. MA,LPC are for informational purposes only.