Individual
JO-ELLEN ROSS ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRADC, SQP
Contact information
Practice address
121 N CHURCH ST, HARTVILLE, MO 65667-8102
(471) 259-7612
Mailing address
121 N CHURCH ST, HARTVILLE, MO 65667-8102
(471) 259-7612
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
3186
MO
101YA0400X
Addiction (Substance Use Disorder) Counselor
5637
MO
Other
Enumeration date
05/01/2023
Last updated
05/01/2023
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