CLIFFORD WAYNE ROBERTSON JR.
NPI 1518725522
Counselor - Mental Health in Brenham, TX
Active since March 13, 2024
About Clifford Wayne Robertson Jr. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CLIFFORD WAYNE ROBERTSON JR. (NPI 1518725522) is an individual mental health provider in Brenham, Texas, licensed in Texas (94151) and active in the NPI registry since March 2024.
NPPES Registry Identity
NPI1518725522
Entity TypeIndividualMale
Primary Taxonomy101YM0800X
Provider Legal NameCLIFFORD WAYNE ROBERTSON JR.
Location Address1708 S MARKET STBrenham, TX 77833-4946
Mailing Address1708 S Market StBrenham, TX 77833-4946 · (979) 203-6470
Phone(979) 203-6470
Sole ProprietorNo
Enumeration DateMarch 13, 2024
NPPES CertifiedMarch 13, 2024
✔ NPI 1518725522 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtyCounselor · Mental HealthBehavioral Health & Social Service Providers
Taxonomy Code101YM0800X
License✔ Licensed in TX · 94151
1708 S MARKET ST, Brenham, TX 77833
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1518725522, enumerated as an "individual" on March 13, 2024.
The provider is located at 1708 S MARKET ST BRENHAM, TX 77833 and the phone number is (979) 203-6470.
Counselor with taxonomy code 101YM0800X and a focus in Mental Health.
