Provider Demographics
NPI:1013489707
Name:ROHRBECK, STEPHEN TODD (LPC)
Entity type:Individual
Prefix:MR
First Name:STEPHEN
Middle Name:TODD
Last Name:ROHRBECK
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1320 EDGEWATER ST NW STE 200
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:OR
Mailing Address - Zip Code:97304-4072
Mailing Address - Country:US
Mailing Address - Phone:503-586-6920
Mailing Address - Fax:
Practice Address - Street 1:1320 EDGEWATER ST NW STE 200
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:OR
Practice Address - Zip Code:97304-4072
Practice Address - Country:US
Practice Address - Phone:503-586-6920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-19
Last Update Date:2024-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health