Individual
AMBER ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS PLPC/CRADC
Contact information
Practice address
12677 HEAVENLY ACRES DR, NEW LONDON, MO 63459-2436
(573) 248-1372
(573) 248-1375
Mailing address
12677 HEAVENLY ACRES DR, NEW LONDON, MO 63459-2436
(573) 248-1372
(573) 248-1375
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
6479
MO
101YM0800X
Mental Health Counselor
Primary
2015043574
MO
Other
Enumeration date
11/01/2016
Last updated
11/01/2016
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