Individual
ROBERT E LIEBERMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LPC
Contact information
Practice address
1590 SE N ST, GRANTS PASS, OR 97526-3905
(541) 479-8394
Mailing address
1590 SE N ST, GRANTS PASS, OR 97526-3905
(541) 479-8394
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
CO930
OR
Other
Enumeration date
03/10/2014
Last updated
03/10/2014
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