Individual
KATRINA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1490 GRIMES ST, FALLON, NV 89406-3103
(775) 423-1412
Mailing address
1490 GRIMES ST, FALLON, NV 89406-3103
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
07077-I
NV
Other
Enumeration date
06/14/2023
Last updated
06/14/2023
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