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Individual

NATHAN LEE ROBERSON

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
2303 EXCALIBUR DR, INDIAN LAND, SC 29707-9232
(214) 470-9039
Mailing address
2303 EXCALIBUR DR, INDIAN LAND, SC 29707-9232

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
10620
SC
101YP2500X
Professional Counselor
18761
NC
101YP2500X
Professional Counselor
86100
TX
101YP2500X
Professional Counselor
Primary
A18761
NC

Other

Enumeration date
11/23/2023
Last updated
02/23/2026
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