Individual provider · Type 1 NPI
Timothy Duane Roberts, LICENSED PROFESSIONA
Professional Counselor · Tyler, TX
NPI number
1679737316
Active
Practice location
104 E Front Street, Suite 142
Tyler, TX 75702
Fax (903) 533-8008
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 69790 (TX) |
Professional Counselor: Definition to come...
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About NPI 1679737316
Timothy Duane Roberts, LICENSED PROFESSIONA's National Provider Identifier is 1679737316, issued on Jul 11, 2008. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Tyler, TX. The record was last updated on Jul 11, 2008.