Individual
MR. CHARLES RICHARD ROBERSON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 E WALNUT ST # 200, PASADENA, CA 91101-1584
(626) 356-5311
(626) 568-1914
Mailing address
300 E. WALNUT ST. 200, PASADENA, CA 91101
(626) 356-5311
(626) 568-1914
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
—
CA
103K00000X
Behavior Analyst
—
CA
Other
Enumeration date
12/23/2008
Last updated
12/23/2008
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