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Austin Tanner Roberts I
Mental Health Counselor in Mccleary, Washington
NPI 1679122956

Austin Tanner Roberts I is a Mental Health Counselor based in Mccleary, WA and is specialized in Mental Health. Austin Tanner Roberts I practices in Mccleary, WA. The NPI Number for Austin Tanner Roberts I is 1679122956 and holds a License No. (Washington).

The current practice location address for Austin Tanner Roberts I is 322 S Birch St, Mccleary, WA and can be reached out via phone at 360-205-4750.

Location: 322 S Birch St, Mccleary, WA, 98557-9522
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1679122956
Provider Name
Austin Tanner Roberts I
Credential
Provider Entity Type
Individual
Gender
Male
Address
322 S Birch St, Mccleary, WA, 98557-9522
Phone Number
360-205-4750
Fax Number
Provider Enumeration Date
09/09/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
322 S Birch St
City
Mccleary
State
Washington
Zip
98557-9522
Phone Number
360-205-4750
Fax Number
person
Provider Business Mailing Address Details
Address
322 S Birch St
City
Mccleary
State
Washington
Zip
98557-9522
Phone Number
360-205-4750
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
Definition
Definition to come...
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