Individual
MS. VICKIE LYNN ROBERSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCDC
Contact information
Practice address
20910 PARK ROW DR, KATY, TX 77449-5018
(832) 306-4818
Mailing address
1500 WITTE RD APT 120, HOUSTON, TX 77080-7636
(713) 817-4405
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
2524-6140
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
104865
TX
Other
Enumeration date
02/17/2020
Last updated
02/17/2020
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