Tyler Lewis Roberts
Counselor, Mental Health in San Diego, CA. Individual provider (NPI-1).
NPI number1982185070
StatusActive
Last updated in NPPESAug 27, 2018
Details
- NPI
- 1982185070
- Entity type
- Individual (NPI-1)
- Name
- Tyler Lewis Roberts
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 27, 2018
- Last updated
- Aug 27, 2018
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 101YM0800X | Counselor, Mental Health | – | – | Yes |
| 1041C0700X | Social Worker, Clinical | – | – | |
| 106H00000X | Marriage & Family Therapist | – | – |
Practice location
4303 3rd AveSan Diego, CA 92103
Phone 619-876-4502
Mailing address
6312 Caminito Del CervatoSan Diego, CA 92111-6852
Phone 702-785-7408
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