Individual
ADDIE ROBIN DIROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10240 W. 31ST AVE, PHOENIX, AZ 85051
(602) 863-1862
(602) 863-4388
Mailing address
6008 E CALLE DE POMPAS, CAVE CREEK, AZ 85331-2509
(602) 863-1862
(602) 863-4388
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LAC-16052
AZ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
LAC-16052
—
AZ
Enumeration date
05/31/2018
Last updated
05/31/2018
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