Individual
MS. CATHY RENEE' ROBERTSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
9378 OLIVE BLVD, SUITE 316, OLIVETTE, MO 63132-3215
(314) 603-0149
Mailing address
7117 BLUE SPRUCE DR, SAINT LOUIS, MO 63121-2702
(314) 603-0149
(314) 385-7218
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
2000175177
MO
101YP2500X
Professional Counselor
Primary
2000175177
MO
106H00000X
Marriage & Family Therapist
2000175177
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
491296802
—
MO
Enumeration date
01/29/2007
Last updated
02/10/2021
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