Individual provider · Type 1 NPI

Mark Robertson

Addiction (Substance Use Disorder) Counselor · Shelby, OH

NPI number 1114639705 Active

Practice location

2775 State Route 39
Shelby, OH 44875-9466

Mailing address

316 W Main St
New Washington, OH 44854-9438

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XCDCA.182623 (OH)

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1114639705

Mark Robertson's National Provider Identifier is 1114639705, issued on Dec 15, 2022. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Shelby, OH. The record was last updated on Dec 15, 2022.