Individual
WALTER EUGENE ROBERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA,LPC
Contact information
Practice address
4507B LACLEDE AVE, SAINT LOUIS, MO 63108-2103
(314) 361-4673
(314) 361-6649
Mailing address
2036 HONEY RIDGE CT, CHESTERFIELD, MO 63017-7602
(314) 361-4673
(314) 361-6649
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
001977
MO
Other
Enumeration date
01/17/2007
Last updated
03/26/2021
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