Individual provider · Type 1 NPI
Mary Roberson, LCPC, EDD
Professional Counselor · Beach Park, IL
NPI number
1902296502
Active
Practice location
39385 N Stockton Ln
Beach Park, IL 60083-3010
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 180005805 (IL) |
Professional Counselor: Definition to come...
Other professional counselor providers in Beach Park
About NPI 1902296502
Mary Roberson, LCPC, EDD's National Provider Identifier is 1902296502, issued on Feb 3, 2015. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Beach Park, IL. The record was last updated on Aug 11, 2015.