Individual
MR. DAVID W. ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCPC
Contact information
Practice address
335 N MAIN ST, POCATELLO, ID 83204
(208) 478-8340
(208) 478-8341
Mailing address
720 WASHINGTON ST, MONTPELIER, ID 83254-1401
(208) 220-4197
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LCPC-9221
ID
Other
Enumeration date
09/12/2011
Last updated
12/22/2022
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