FAWNA ROBERTS

ROSEBURG, OR
NPI1548594872
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy101YM0800X Counselor, Mental Health
(Licence: OR  R1295)
Enumeration Date2009-09-18
Last Update Date2009-09-18
Business Address
-- FAWNA ROBERTS LPC
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-464-6618
Mailing Address
-- FAWNA ROBERTS LPC
621 W MADRONE ST
ROSEBURG, OR 97470-3090
Phone number: 541-464-6618