Individual
H EDWARD ROBERTS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MS, LADC
Contact information
Practice address
11 PEARL ST STE 208, ESSEX JUNCTION, VT 05452-3648
(802) 288-9292
Mailing address
11 PEARL ST STE 208, ESSEX JUNCTION, VT 05452-3648
(802) 288-9292
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
000209
VT
Other
Enumeration date
11/12/2010
Last updated
11/12/2010
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