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Jason Ryan Roberts, MED
Counselor in Greenville, South Carolina
NPI 1396098943

Jason Ryan Roberts is a Counselor based in Greenville, SC. Jason Ryan Roberts practices in Greenville, SC and has the professional credentials of MED. The NPI Number for Jason Ryan Roberts is 1396098943 and holds a License No. (South Carolina).

The current practice location address for Jason Ryan Roberts is 124 Mallard St., Greenville, SC and can be reached out via phone at 864-241-1040 and via fax at 864-241-8189.

Location: 124 Mallard St., Greenville, SC, 29601-4046
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396098943
Provider Name
Jason Ryan Roberts
Credential
MED
Provider Entity Type
Individual
Gender
Male
Address
124 Mallard St., Greenville, SC, 29601-4046
Phone Number
864-241-1040
Fax Number
864-241-8189
Provider Enumeration Date
10/19/2012
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
301100 05 SC
institution
Provider Business Practice Location Address Details
Address
124 Mallard St.
City
Greenville
State
South Carolina
Zip
29601-4046
Phone Number
864-241-1040
Fax Number
864-241-8189
person
Provider Business Mailing Address Details
Address
124 Mallard St.
City
Greenville
State
South Carolina
Zip
29601-4046
Phone Number
864-241-1040
Fax Number
864-241-8189
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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