| Doctor Name: | MR. BRETT ROBERTS |
| NPI Number: | 1942405964 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MSED |
| License Number: | E 0001619 |
| Business Practice Address: | 4923 Adams Rd East Palestine, OH - 444138769 |
| Business Phone Number: | 3305018200 |
| Business Fax Number: | 3304269415 |
| Mailing Address: | 4923 Adams Rd, EAST PALESTINE |
| State: | OH |
| Postal Code: | 444138769 |
| Phone Number: | 3305018200 |
| Fax Number: | 3304269415 |
| NPI Enumeration Date: | 06/19/2007 |
| NPI Last Update Date: | 09/07/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | E 0001619 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |