Individual
ROBERT LEE ROBERSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
105 CHAG ST, LAFAYETTE, LA 70501
(337) 322-6143
Mailing address
105 CHAG ST, LAFAYETTE, LA 70501
(337) 322-6143
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
2098
LA
Other
Enumeration date
11/24/2008
Last updated
11/24/2008
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