Individual
ALEX DANIEL ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
SUDPT
Contact information
Practice address
12201 PACIFIC AVE S, TACOMA, WA 98444-5126
(253) 550-9058
Mailing address
12201 PACIFIC AVE S, TACOMA, WA 98444-5126
(253) 550-9058
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDPT.CO.61595577
WA
Other
Enumeration date
01/15/2026
Last updated
01/15/2026
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