Individual
JASON EVAN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
105 FIDELITY ST. (A-51), CARRBORO, NC 27510
(919) 260-4510
Mailing address
105 FIDELITY ST. (A-51), CARRBORO, NC 27510
(919) 260-4510
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
1708
NC
Other
Enumeration date
10/21/2015
Last updated
10/21/2015
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