Doctor Name: | MS. ROBIN DAWN EDISON |
NPI Number: | 1003180878 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MED, LPC, NCC, CAADC |
License Number: | 6401009507 |
Business Practice Address: | 5656 Le Blanc Ave Ann Arbor, MI - 481039394 |
Business Phone Number: | 2485200880 |
Business Fax Number: | |
Mailing Address: | 5656 Le Blanc Avenue, ANN ARBOR |
State: | MI |
Postal Code: | 48103 |
Phone Number: | 2485200880 |
Fax Number: | |
NPI Enumeration Date: | 02/27/2012 |
NPI Last Update Date: | 02/27/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 6401009507 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |