Individual
MR. BERNARD ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCA 138
Contact information
Practice address
3525 RESOURCE DRIVE, ROOM C-44, RANDALLSTOWN, MD 21133
(410) 655-7655
(410) 655-3941
Mailing address
10400 RIDGLAND ROAD, STE 1, COCKEYSVILLE, MD 21030
(410) 628-6120
(410) 628-9825
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
LCA138
MD
Other
Enumeration date
09/18/2007
Last updated
09/18/2007
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