Individual
DUSTIN WAYNE ROBERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PROVISIONAL L.P.E
Contact information
Practice address
125 DONS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
(501) 620-5109
Mailing address
125 DONS WAY, HOT SPRINGS, AR 71913-6478
(501) 624-7111
(501) 620-5109
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
10-50 AE-PL
AR
101YM0800X
Mental Health Counselor
10-57AE-PL
AR
101YM0800X
Mental Health Counselor
Primary
12-02 AE-PL
AR
Other
Enumeration date
01/17/2011
Last updated
02/24/2012
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