Individual
CLIFFORD WAYNE ROBERTSON JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1708 S MARKET ST, BRENHAM, TX 77833-4946
(979) 203-6470
Mailing address
1708 S MARKET ST, BRENHAM, TX 77833-4946
(979) 203-6470
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
94151
TX
Other
Enumeration date
03/13/2024
Last updated
03/13/2024
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