Kimberly Michelle Roberts, PSYD, LPC, CCM
NPI #1174697320 in Jacksonville, Oregon
Provider Information
- NPI Number
- 1174697320
- Entity Type
- Individual
- Name
- Kimberly Michelle Roberts, PSYD, LPC, CCM
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Counselor - Professional
- Credential
- PSYD, LPC, CCM
- Enumeration Date
- Nov 20, 2006
- Last Updated
- May 13, 2020
Practice Location
- Address
- 455 HUENERS LN
- City
- Jacksonville
- State
- Oregon
- ZIP Code
- 97530-9195
- Phone
- (615) 668-6775
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor - Professional — Professional |
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