| Doctor Name: | MS. MARKETA ROBINSON |
| NPI Number: | 1023491271 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCDC III |
| License Number: | 141200-3 |
| Business Practice Address: | 809 W Vine St Lima, OH - 458041054 |
| Business Phone Number: | 4192224474 |
| Business Fax Number: | 4192227044 |
| Mailing Address: | 809 W Vine St, LIMA |
| State: | OH |
| Postal Code: | 458041054 |
| Phone Number: | 4192224474 |
| Fax Number: | 4192227044 |
| NPI Enumeration Date: | 07/07/2015 |
| NPI Last Update Date: | 07/07/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 141200-3 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OH |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |