Individual
MS. MICHELLE A ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.A.
Contact information
Practice address
190 OVERTHRUST RD., EVANSTON, WY 82930-2910
(307) 789-4224
Mailing address
PO BOX 2910, 190 OVERTHRUST RD, EVANSTON, WY 82931-2910
(307) 885-3823
(307) 885-5206
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PPC-847
WY
101YP2500X
Professional Counselor
Primary
LPC-1555
WY
101YP2500X
Professional Counselor
PPC-847
WY
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
07/02/2014
Last updated
02/18/2016
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