| Doctor Name: | JOHN E. ROBERTS |
| NPI Number: | 1114064078 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCMHC |
| License Number: | 068-0000696 |
| Business Practice Address: | 34 Patchen Rd South Burlington, VT - 054035704 |
| Business Phone Number: | 8026584208 |
| Business Fax Number: | 8026582234 |
| Mailing Address: | 34 Patchen Road, SOUTH BURLINGTON |
| State: | VT |
| Postal Code: | 05403 |
| Phone Number: | 8026584208 |
| Fax Number: | 8026582234 |
| NPI Enumeration Date: | 01/31/2007 |
| NPI Last Update Date: | 12/10/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 068-0000696 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | VT |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |