Individual
MYRANDA LYNN ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDPT
Contact information
Practice address
230 GRANT RD STE A25, EAST WENATCHEE, WA 98802-7722
(509) 884-9040
(509) 884-9041
Mailing address
800 W 1ST ST APT 16B, CHENEY, WA 99004-8816
(253) 548-5422
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
07/28/2017
Last updated
05/23/2018
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