Individual
JESSE LEWIS ROBINSON I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PPS
Contact information
Practice address
5061 LIBERTY RD S, SALEM, OR 97306-2073
(503) 363-2021
Mailing address
PO BOX 17818, SALEM, OR 97305-7818
(503) 363-2021
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/16/2017
Last updated
06/27/2023
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