Austin Tanner Roberts I

NPI #1679122956 in Mccleary, Washington

Provider Information

NPI Number: 1679122956
Entity Type: Individual
Name: Austin Tanner Roberts I
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Counselor - Mental Health
Enumeration Date: Sep 9, 2019
Last Updated: Sep 9, 2019

Practice Location

Address: 322 S BIRCH ST
City: Mccleary
State: Washington
ZIP Code: 98557-9522
Phone: (360) 205-4750

Specialties & Taxonomy Codes

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

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