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NPI Code Detail

MEDICARE: CHAUNTE' ROBERTS MA

MEDICARE: CHAUNTE' ROBERTS MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional Counselor6451023876MI

General Provider Information

NPI Number : 1083445977
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHAUNTE' ROBERTS MA
Provider Business Mailing Address
First Line : 17235 EUCLID AVE
Second Line :
City : ALLEN PARK
State : MI
Zip : 48101-2828
Country : US
Telephone Number : 248-919-8260
Fax Number :
Provider Business Practice Location Address
First Line : 34290 FORD RD
Second Line :
City : WESTLAND
State : MI
Zip : 48185-3051
Country : US
Telephone Number : 888-813-8326
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/12/2024
Last Update Date : 06/16/2026

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Directions to “ CHAUNTE' ROBERTS MA” Practice Location

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