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Individual

MS. KYNZI ROBERTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BS, LCDC, CAC III

Contact information

Practice address
10504 VIOLA AVE, LUBBOCK, TX 79424-7736
(719) 400-9266
Mailing address
10504 VIOLA AVE, LUBBOCK, TX 79424-7736
(719) 400-9266

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
16148
TX
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CO

Other

Enumeration date
10/11/2017
Last updated
10/10/2022
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