Provider Demographics
NPI:1902968571
Name:MICHAELS, RHOBERTA E (LPC, NCC, LCPC)
Entity Type:Individual
Prefix:MS
First Name:RHOBERTA
Middle Name:E
Last Name:MICHAELS
Suffix:
Gender:F
Credentials:LPC, NCC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6901 SE LAKE RD STE 27
Mailing Address - Street 2:
Mailing Address - City:MILWAUKIE
Mailing Address - State:OR
Mailing Address - Zip Code:97267-2195
Mailing Address - Country:US
Mailing Address - Phone:503-388-2749
Mailing Address - Fax:503-387-3757
Practice Address - Street 1:6901 SE LAKE RD STE 27
Practice Address - Street 2:
Practice Address - City:MILWAUKIE
Practice Address - State:OR
Practice Address - Zip Code:97267-2195
Practice Address - Country:US
Practice Address - Phone:503-388-2749
Practice Address - Fax:503-387-3757
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2018-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
27742101Y00000X
ORCO768101YP2500X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101Y00000XBehavioral Health & Social Service ProvidersCounselor