Individual provider · Type 1 NPI
Kimberly Michelle Roberts, PSYD, LPC, CCM
Professional Counselor · Jacksonville, OR
NPI number
1174697320
Active
Practice location
455 Hueners Ln
Jacksonville, OR 97530-9195
Other practice locations
- 3354 Perimeter Hill Dr, Suite 320, Nashville, TN 37211 · (615) 331-3221
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | None listed |
Professional Counselor: Definition to come...
About NPI 1174697320
Kimberly Michelle Roberts, PSYD, LPC, CCM's National Provider Identifier is 1174697320, issued on Nov 20, 2006. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Jacksonville, OR. The record was last updated on May 13, 2020.