| Doctor Name: | MS. DEBRA L ROBERTS |
| NPI Number: | 1043384787 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LADC, LICSW |
| License Number: | 000207 |
| Business Practice Address: | 56 1 2 Merchants Row Suite 317 318 Rutland, VT - 057015907 |
| Business Phone Number: | 8027868008 |
| Business Fax Number: | 8027868002 |
| Mailing Address: | 83 Brown St, RUTLAND |
| State: | VT |
| Postal Code: | 057013905 |
| Phone Number: | 8027734881 |
| Fax Number: | |
| NPI Enumeration Date: | 11/17/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 000207 |
| Healthcare Provider Taxonomy: (Secondary) | X |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |