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Individual

CREIGHTON ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
100 MARINERS DR STE D, KINGSLAND, GA 31548-6667
(912) 510-0669
(912) 510-0754
Mailing address
100 MARINERS DR STE D, KINGSLAND, GA 31548-6667
(912) 510-0669
(912) 510-0754

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
APC005444
GA

Other

Enumeration date
08/30/2016
Last updated
01/14/2020
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