Individual
MS. LAURA M ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CASAC, CRPA
Contact information
Practice address
50 W HAWTHORNE AVE, VALLEY STREAM, NY 11580-6220
(517) 569-6600
Mailing address
40 DALEY PL APT 101, LYNBROOK, NY 11563-2211
(917) 209-1872
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
NY
Other
Enumeration date
10/01/2018
Last updated
10/01/2018
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