Individual
CHRISTOPHER JAMES ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LCSW, LCAS
Contact information
Practice address
704 N US HIGHWAY 64, MANTEO, NC 27954-9009
(252) 216-9965
Mailing address
704 N US HIGHWAY 64, PO BOX 161, MANTEO, NC 27954-9009
(252) 216-9965
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
1261
NC
1041C0700X
Clinical Social Worker
Primary
C006108
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6112007
—
NC
Enumeration date
08/19/2007
Last updated
07/28/2008
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