Tanya Roberts
Tanya Roberts is a Professional Counselor in Lodi, California. Practices as a sole proprietor. Licensed in California.
- Licensed in
- CA
- In the registry since
- 2007
- Specialties on file
- 2
Practice location Address checks out
404 W Pine St Ste 1Lodi, CA 95240-2048
Phone: (209) 401-2134
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 20414 (CA) |
|---|---|
| Professional Counselor | Taxonomy 101YP2500X · Licence 20414 (CA) |
Record details
| NPI number | 1912042375 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | Yes |
| NPI enumerated | February 21, 2007 |
| Last updated in NPPES | January 4, 2024 |
| Certification date | January 4, 2024 |
| Mailing address | Po Box 6025, Galt, CA 95632-6025 |
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