Individual
IESHA ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
605 PAVONIA AVE, JERSEY CITY, NJ 07306-2920
(833) 671-9527
Mailing address
898 BRYANT AVE, BRONX, NY 10474-4728
(646) 875-2596
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
11128
NY
Other
Enumeration date
09/30/2025
Last updated
09/30/2025
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