Individual
ROBERTA JEAN ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ADDICTION COUNSELOR
Contact information
Practice address
218 STONEWALL ST, CARTERSVILLE, GA 30120-3628
(770) 386-1907
(770) 386-7345
Mailing address
218 STONEWALL ST, CARTERSVILLE, GA 30120-3628
(770) 386-1907
(770) 386-7345
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
0873
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0873
—
GA
Enumeration date
11/01/2018
Last updated
11/01/2018
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