Individual
MRS. JENESSA DENISE ROBERTI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DACM
Contact information
Practice address
15630 SE 90TH AVE, CLACKAMAS, OR 97015
(503) 679-4377
Mailing address
15630 SE 90TH AVE, CLACKAMAS, OR 97015
(503) 679-4377
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
10-12-38
OR
101YM0800X
Mental Health Counselor
—
—
171100000X
Acupuncturist
Primary
AC216291
OR
Other
Enumeration date
02/01/2010
Last updated
09/08/2023
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