Shannon Roberson, LPC Valid NPI
Individual provider · Professional Counselor · O Fallon, MO
- NPI
- 1093015257
- Type
- Individual (Type 1)
- Primary specialty
- Professional Counselor (Counselor)
- Specialty group
- Behavioral Health & Social Service Providers
- Taxonomy code
- 101YP2500X
- License number
- 2010012405 (MO)
- Sex
- Female
- Sole proprietor
- No
- Enumerated
- 2010-10-21
- Last updated
- 2010-10-21
Practice location
225 S Main St, Ste. 103
O Fallon, MO 63366-2866
(636) 294-0015