Doctor Name: | MRS. GRACE S ROBINSON |
NPI Number: | 1114160033 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, LCSW |
License Number: | 149.009983 |
Business Practice Address: | 800 Main St Suite 5 Antioch, IL - 600021542 |
Business Phone Number: | 8478389904 |
Business Fax Number: | 8478389907 |
Mailing Address: | Po Box 887, Suite 5 ANTIOCH |
State: | IL |
Postal Code: | 600020887 |
Phone Number: | 8478389904 |
Fax Number: | 8478389907 |
NPI Enumeration Date: | 04/07/2009 |
NPI Last Update Date: | 04/07/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 149.009983 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |