| Walter E. Roberson Jr. | |
|
4507b Laclede Ave Saint Louis MO 63108-2103 | |
| (314) 374-9797 | |
| Not Available |
| Full Name | Walter E. Roberson Jr. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 4507b Laclede Ave, Saint Louis, Missouri |
| Authorized Official Name and Position | Walter E. Roberson (THERAPIST) |
| Authorized Official Contact | 3143749797 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Walter E. Roberson Jr. 2036 Honey Ridge Ct Chesterfield MO 63017-7602 Ph: () - | Walter E. Roberson Jr. 4507b Laclede Ave Saint Louis MO 63108-2103 Ph: (314) 374-9797 |
| NPI Number | 1144494097 |
|---|---|
| Provider Enumeration Date | 04/22/2008 |
| Last Update Date | 04/22/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144494097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 001977 (Missouri) | Primary |
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