Individual provider · Type 1 NPI

Dustin Wayne Roberson, PROVISIONAL L.P.E

Mental Health Counselor · Hot Springs, AR

NPI number 1861797227 Active

Practice location

125 Dons Way
Hot Springs, AR 71913-6478

Fax (501) 620-5109

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor 101YM0800X10-57AE-PL (AR)
Mental Health Counselor 101YM0800X10-50 AE-PL (AR)
Mental Health Counselor Primary 101YM0800X12-02 AE-PL (AR)

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About NPI 1861797227

Dustin Wayne Roberson, PROVISIONAL L.P.E's National Provider Identifier is 1861797227, issued on Jan 17, 2011. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Hot Springs, AR. The record was last updated on Feb 24, 2012.