Individual
CHARISSA MARIE ROBERTSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CADC-III
Contact information
Practice address
3707 E SHIELDS AVE, FRESNO, CA 93726-7029
(559) 229-9040
Mailing address
45435 SAND CREEK RD, SQUAW VALLEY, CA 93675-9328
(559) 341-3657
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
21432
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
770534019
—
CA
Enumeration date
02/14/2017
Last updated
07/29/2025
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