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Contact Information

LEANETTE S ROBERSON, MA LPC
1603 MALLARD LANE
TIFTON, GA31793
 Phone: 229-386-2976
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Counselor

101Y00000X
Indicates primary specialty

NPI Profile & details for LEANETTE S ROBERSON · (Female)

NPI Number 1003982752
Status Active
Credentials MA LPC
Entity Individual
Enumeration date 11/27/2006
Last updated 07/08/2007 - About 19 years ago
Sole proprietor 1 No
Identifiers
  • GA License # 003870
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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