Individual
CHARLES K ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
EDD, LPCC-S, LICDC
Contact information
Practice address
1251 NILLES RD, SUITE 5, FAIRFIELD, OH 45014-7206
(513) 939-0300
(513) 939-0310
Mailing address
1251 NILLES RD STE 5, FAIRFIELD, OH 45014-7205
(513) 939-0300
(513) 939-0310
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
ICDC.131090-S
OH
101YM0800X
Mental Health Counselor
Primary
E.0600256-S
OH
101YM0800X
Mental Health Counselor
LPC.0020296
CO
101YM0800X
Mental Health Counselor
MH22429
FL
Other
Enumeration date
12/13/2006
Last updated
06/11/2024
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