Individual provider · Type 1 NPI

Michelle Roberts, MA, LAC

Addiction (Substance Use Disorder) Counselor · Canon City, CO

NPI number 1740723717 Active

Practice location

701 S 9th St
Canon City, CO 81212-4911

Mailing address

3225 Independence Rd
Canon City, CO 81212-9380

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400X2589 (CO)
Case Manager/Care Coordinator 171M00000XNone listed

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About NPI 1740723717

Michelle Roberts, MA, LAC's National Provider Identifier is 1740723717, issued on Nov 23, 2016. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Canon City, CO. The record was last updated on Sep 24, 2024.