Individual provider · Type 1 NPI
Jill Roberts, BS, CADC
Addiction (Substance Use Disorder) Counselor · Wyandotte, OK
NPI number
1114122041
Active
Practice location
69999 E 152 Rd
Wyandotte, OK 74370-2224
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 321 (OK) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
Other addiction (substance use disorder) counselor providers in Wyandotte
About NPI 1114122041
Jill Roberts, BS, CADC's National Provider Identifier is 1114122041, issued on Jun 20, 2007. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Wyandotte, OK. The record was last updated on Jun 30, 2009.