Individual
MR. JAMES MICHAEL ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMHC
Contact information
Practice address
1672N 600W, GREENFIELD, IN 46140-9626
(317) 894-3280
(317) 894-3288
Mailing address
7729 N 700 W, FAIRLAND, IN 46126-9664
(317) 835-7636
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
39000205A
IN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
39000205A
LICENSED MENTAL HEALTH CO
IN
Enumeration date
02/07/2007
Last updated
07/08/2007
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