Individual
AUSTIN TANNER ROBERTS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
322 S BIRCH ST, MCCLEARY, WA 98557-9522
(360) 205-4750
Mailing address
322 S BIRCH ST, MCCLEARY, WA 98557-9522
(360) 205-4750
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/09/2019
Last updated
09/09/2019
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