Individual
LYNETTE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC1, CRM, PSS,QMHA
Contact information
Practice address
908 NE 4TH ST, BEND, OR 97701-4646
(541) 617-7365
(541) 312-6343
Mailing address
908 NE 4TH ST, BEND, OR 97701-4646
(541) 617-7365
(541) 312-6343
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
210710194
OR
101YM0800X
Mental Health Counselor
23-QMHA-R-3797
OR
175T00000X
Peer Specialist
18-CRM-371
OR
Other
Enumeration date
10/26/2019
Last updated
11/18/2024
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