Individual
MR. ABIA-IMO EYIRE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1765 LE ROY AVE APT A, BERKELEY, CA 94709-1162
(510) 944-7177
Mailing address
1816 SCENIC AVE, BERKELEY, CA 94709-1324
(510) 548-7270
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
02/11/2021
Last updated
02/11/2021
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