WALTER E. ROBERSON JR. NPI 1144494097

NPI Information

WALTER E. ROBERSON JR. is a mental health counselor in Saint Louis, MO. WALTER E. ROBERSON JR. NPI is 1144494097. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4507B LACLEDE AVE
SAINT LOUIS, MO
ZIP 63108-103
Phone: (314) 374-9797

The provider's authorized official is Walter E. Roberson .
The authorized official title is Therapist and has the following contact phone number (314) 374-9797.

The enumeration date for this NPI number is 4/22/2008 and was last updated on 4/22/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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