Kevin Robertson, PLPC

NPI #1336521947 in Maryville, Missouri

Provider Information

NPI Number: 1336521947
Entity Type: Individual
Name: Kevin Robertson, PLPC
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Counselor - Professional
Credential: PLPC
Enumeration Date: Jun 19, 2015
Last Updated: Jun 19, 2015

Practice Location

Address: 318 N MAIN ST
City: Maryville
State: Missouri
ZIP Code: 64468-1644
Phone: (660) 562-3000

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor - Addiction (Substance Use Disorder) — Addiction (Substance Use Disorder)	101YA0400X
Counselor - Professional — Professional	101YP2500X	Primary

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