Shane Roberts

NPI #1063871002 in Powell, Wyoming

Provider Information

NPI Number: 1063871002
Entity Type: Individual
Name: Shane Roberts
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Feb 18, 2016
Last Updated: Mar 8, 2016

Practice Location

Address: 1054 VALI RD
City: Powell
State: Wyoming
ZIP Code: 82435-9259
Phone: (307) 254-8129

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Mental Health — Mental Health	101YM0800X	Primary

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