Individual
MR. MATTHEW IRA ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CP 61222010
Contact information
Practice address
1601 W MEEKER ST STE 201, KENT, WA 98032-4323
(206) 550-5894
Mailing address
1618 S LANE ST, SEATTLE, WA 98144-2829
(253) 355-9888
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CP61222010
WA
Other
Enumeration date
07/31/2018
Last updated
03/07/2023
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