Individual
MS. STEPHANIE NICOLE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, LAC, AADC, MAC
Contact information
Practice address
364 S PINE ST STE A110, SPARTANBURG, SC 29302-2654
(864) 515-6440
(864) 308-2442
Mailing address
113 LEN CT, SPARTANBURG, SC 29303-5526
(864) 371-0538
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
100
SC
101YP2500X
Professional Counselor
Primary
6403
SC
Other
Enumeration date
03/28/2012
Last updated
09/13/2023
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