| Doctor Name: | MS. LORI ANNETTE ROBERTSON |
| NPI Number: | 1124056460 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCSW, LCAC |
| License Number: | 87000744A |
| Business Practice Address: | 73 S Wabash St Wabash, IN - 469923156 |
| Business Phone Number: | 2602740230 |
| Business Fax Number: | 2602741500 |
| Mailing Address: | 73 S Wabash St, WABASH |
| State: | IN |
| Postal Code: | 469923156 |
| Phone Number: | 2602740230 |
| Fax Number: | 2602741500 |
| NPI Enumeration Date: | 06/28/2006 |
| NPI Last Update Date: | 04/17/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 87000744A |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | IN |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |