Provider Demographics
NPI:1568764710
Name:WEBSTER, ROBERT (MS, NCC, LPC, CMATS)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:
Last Name:WEBSTER
Suffix:
Gender:M
Credentials:MS, NCC, LPC, CMATS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 15507
Mailing Address - Street 2:
Mailing Address - City:NEW BERN
Mailing Address - State:NC
Mailing Address - Zip Code:28561-5507
Mailing Address - Country:US
Mailing Address - Phone:252-723-0595
Mailing Address - Fax:
Practice Address - Street 1:1900 US HIGHWAY 70 E STE C
Practice Address - Street 2:
Practice Address - City:NEW BERN
Practice Address - State:NC
Practice Address - Zip Code:28560-6818
Practice Address - Country:US
Practice Address - Phone:252-723-0595
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-11-20
Last Update Date:2011-11-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X, 101Y00000X
NC7589101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101Y00000XBehavioral Health & Social Service ProvidersCounselor