Individual provider · Type 1 NPI
Kenneth Samine Roberts
Mental Health Counselor · Port St. Luice, FL
NPI number
1154063634
Active
Practice location
567 NW Whitney Place, Suite 101
Port St. Luice, FL 34986
Fax (772) 337-8165
Mailing address
567 NW Lake Whitney Pl Ste 101
Port St. Lucie, FL 34986-1629
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | None listed |
Mental Health Counselor: Definition to come...
About NPI 1154063634
Kenneth Samine Roberts's National Provider Identifier is 1154063634, issued on Apr 13, 2022. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Port St. Luice, FL. The record was last updated on Apr 13, 2022.