LYNETTE ROBERTS CADC1, CRM, PSS,QMHA
NPI 1477196087
Counselor - Addiction (Substance Use Disorder) in Bend, OR
Active since October 26, 2019
About Lynette Roberts Cadc1, Crm, Pss,qmha NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LYNETTE ROBERTS CADC1, CRM, PSS,QMHA (NPI 1477196087) is an individual addiction (substance use disorder) provider in Bend, Oregon, licensed in Oregon (210710194) and active in the NPI registry since October 2019.
NPPES Registry Identity
NPI1477196087
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameLYNETTE ROBERTSCredential: CADC1, CRM, PSS,QMHA
Location Address908 NE 4TH STBend, OR 97701-4646
Mailing Address908 Ne 4th StBend, OR 97701-4646 · (541) 617-7365 · Fax (541) 312-6343
Phone(541) 617-7365
Fax(541) 312-6343
Sole ProprietorNo
Enumeration DateOctober 26, 2019
Last NPPES UpdateNovember 18, 20243 updates tracked since enumeration
NPPES CertifiedNovember 18, 2024
✔ NPI 1477196087 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses 3
★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in OR · 210710194
Also ListedCounselor · Mental HealthTaxonomy 101YM0800X · License 23-QMHA-R-3797 (OR)
Also ListedPeer SpecialistTaxonomy 175T00000X · License 18-CRM-371 (OR)
908 NE 4TH ST, Bend, OR 97701
Other Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Counselor (Addiction (Substance Use Disorder))
908 NE 4TH ST
BEND, OR 97701
BEND, OR 97701
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1477196087, enumerated as an "individual" on October 26, 2019.
The provider is located at 908 NE 4TH ST BEND, OR 97701 and the phone number is (541) 617-7365.
Counselor with taxonomy code 101YA0400X and a focus in Addiction (Substance Use Disorder).
