Individual
KIM LAND ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LPC008144
GA
101YM0800X
Mental Health Counselor
TPMC2681
FL
101YP2500X
Professional Counselor
Primary
LPC008144
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
003170135A
—
GA
05
—
003170135C
—
GA
05
—
003170135F
—
GA
Enumeration date
11/05/2015
Last updated
10/18/2023
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