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Individual

JOHN DAVID ROBERTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
LCPC

Contact information

Practice address
6045 SOLOMONS ISLAND RD, HUNTINGTOWN, MD 20639-8876
(410) 257-5200
(410) 257-2442
Mailing address
6045 SOLOMONS ISLAND RD, HUNTINGTOWN, MD 20639-8876
(410) 257-5200
(410) 257-2442

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC4908
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
589561800
MD
Enumeration date
05/30/2012
Last updated
08/23/2013
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