Individual
ROY ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
927 N PENNSYLVANIA ST, INDIANAPOLIS, IN 46204-1020
(833) 659-4357
Mailing address
5845 PETERSEN CT, INDIANAPOLIS, IN 46254-1077
(502) 302-0718
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
34012492A
IN
1041C0700X
Clinical Social Worker
34012492A
IN
Other
Enumeration date
12/02/2025
Last updated
12/05/2025
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