Individual provider · Type 1 NPI

Kellie Diane Roberts

Counselor · Corvallis, OR

NPI number 1215208764 Active

Practice location

4455 NE Highway 20
Corvallis, OR 97330-9695

Call (541) 758-5900 Map

Mailing address

3415 SE Powell Blvd
Portland, OR 97202-3371

Specialties and licenses

TaxonomyCodeLicense
Counselor Primary 101Y00000XNone listed

Counselor: A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

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About NPI 1215208764

Kellie Diane Roberts's National Provider Identifier is 1215208764, issued on Jan 14, 2012. The primary taxonomy on file is Counselor (101Y00000X), and the practice location is in Corvallis, OR. The record was last updated on Jan 14, 2012.