Individual
BENJAMIN ROBERTS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
312 N DURHAM AVE, GALLATIN, TN 37066-2756
(615) 200-3007
Mailing address
462 RODNEY ST, GALLATIN, TN 37066-3546
(615) 200-3007
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3960
TN
Other
Enumeration date
10/10/2017
Last updated
10/10/2017
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