Individual
MR. STEPHEN H ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW, CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
672
WI
101YA0400X
Addiction (Substance Use Disorder) Counselor
672-132
WI
1041C0700X
Clinical Social Worker
3105
WI
1041C0700X
Clinical Social Worker
Primary
3105-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
39307400
—
WI
Enumeration date
11/27/2006
Last updated
04/21/2010
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