Individual
CHRISTOPHER ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.A.
Contact information
Practice address
9409 N HAGGERTY RD, PLYMOUTH, MI 48170-4696
(734) 559-3540
Mailing address
9409 N HAGGERTY RD, PLYMOUTH, MI 48170-4696
(734) 559-3540
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
6401015235
MI
101YP2500X
Professional Counselor
LPCCCA00211319
KY
1041C0700X
Clinical Social Worker
Primary
6401015235
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
610661458
TAX ID
KY
Enumeration date
11/24/2014
Last updated
01/23/2024
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