Individual provider · Type 1 NPI

Isaiah Daeshawn Roberson

Counselor · Moore, OK

NPI number 1063124246 Active

Practice location

620 NW 5th St Ste D
Moore, OK 73160-3947

Call (405) 208-4469 Map

Fax (405) 208-4472

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: 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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About NPI 1063124246

Isaiah Daeshawn Roberson's National Provider Identifier is 1063124246, issued on Dec 19, 2022. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Moore, OK. The record was last updated on Dec 19, 2022.