Isaiah Daeshawn Roberson

Counselor · Moore, OK

Individual Active NPI

NPI number 1063124246

Practice location

620 NW 5TH St Ste D
Moore, OK 73160-3947
Phone
(405) 208-4469
Fax
(405) 208-4472

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NPI record

NPI
1063124246
Entity type
Individual (Type 1)
Enumeration date
December 19, 2022
Last updated
December 19, 2022
Certified
December 19, 2022
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Counselor Primary 101Y00000X — OK

About Isaiah Roberson

Isaiah Daeshawn Roberson is a healthcare provider registered in the NPI registry with the primary taxonomy Counselor (code 101Y00000X). The practice location is 620 NW 5TH St Ste D, Moore, OK 73160-3947. The NPI number 1063124246 was assigned on December 19, 2022 and the record was last updated on December 19, 2022.

Frequently asked questions

What is the NPI number of Isaiah Daeshawn Roberson?

The NPI number is 1063124246.

What is the phone number of Isaiah Roberson?

The phone number listed for the practice location is (405) 208-4469.

Where is Isaiah Roberson located?

620 NW 5TH St Ste D, Moore, OK 73160-3947.

What is the taxonomy code for Isaiah Roberson?

The primary taxonomy code is 101Y00000X – Counselor.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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