Individual
MS. CAROL LYNN ROBERTS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
400 NE 7TH ST, GRESHAM, OR 97030-5604
(503) 661-5455
(503) 661-4959
Mailing address
820 NW 21ST AVE, STE B, PORTLAND, OR 97209
(503) 740-7547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
10/22/2010
Last updated
04/04/2013
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