Individual
ROBERTA ROACH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.A., C.A.D.C I
Contact information
Practice address
880 82ND DR, GLADSTONE, OR 97027-1803
(503) 659-5515
(503) 659-1994
Mailing address
880 82ND DR, GLADSTONE, OR 97027-1803
(503) 659-5515
(503) 659-1994
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OR
101YM0800X
Mental Health Counselor
—
OR
Other
Enumeration date
01/31/2007
Last updated
07/22/2008
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