Individual provider · Type 1 NPI
Kenneth Richard Roberson, LCDC
Addiction (Substance Use Disorder) Counselor · Hurst, TX
NPI number
1487265765
Active
Practice location
620 Oak Dr
Hurst, TX 76053-5526
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Addiction (Substance Use Disorder) Counselor Primary | 101YA0400X | 14198 (TX) |
Addiction (Substance Use Disorder) Counselor: Definition to come...
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About NPI 1487265765
Kenneth Richard Roberson, LCDC's National Provider Identifier is 1487265765, issued on Aug 11, 2020. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Hurst, TX. The record was last updated on Aug 11, 2020.