Individual
STEVIE TYRONE ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
312 S 3RD ST, SMITHFIELD, NC 27577-4544
(919) 763-2983
Mailing address
906 S RAIFORD ST, SELMA, NC 27576-3242
(919) 763-2983
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
28399
NC
Other
Enumeration date
07/06/2023
Last updated
07/06/2023
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