Natosha Leann Roberson

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Vincent, OH

NPI 1275188286 · NPPES record last updated Oct 18, 2022

Key facts

NPI
1275188286
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
License
181720 (OH)
Practice address
4945 State Route 339
Vincent, OH 45784-5106
Phone
(740) 371-5091
NPI assigned
Aug 6, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
181720OHMDLicensed Practical Nurse

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X 181720 OH Yes
Case Manager/Care Coordinator 171M00000X

Addresses

Primary practice location

4945 State Route 339
Vincent, OH 45784-5106

Mailing address

1417 Lancaster St
Marietta, OH 45750-7973

Other providers in Vincent, OH

All providers in Vincent, OH · Addiction (Substance Use Disorder) Counselor in Ohio

Sources for this page

Verify at the official NPI Registry.