Individual
DANIEL G ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
1616 E MAIN ST, MESA, AZ 85203-9071
(480) 477-9199
Mailing address
16161 MAIN ST, MESA, AZ 85203
(480) 477-9199
(719) 589-2974
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
333
CO
101YM0800X
Mental Health Counselor
Primary
17647
AZ
Other
Enumeration date
06/16/2010
Last updated
02/22/2021
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