Individual provider · Type 1 NPI

Shannon Noel Roberts

Mental Health Counselor · Portland, OR

NPI number 1205651965 Active

Practice location

5725 NE Prescott St
Portland, OR 97218-2275

Mailing address

PO Box 8459
Portland, OR 97207-8459

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1205651965

Shannon Noel Roberts's National Provider Identifier is 1205651965, issued on Nov 18, 2024. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Portland, OR. The record was last updated on Nov 18, 2024.