Doctor Name: | CYNTHIA ELLEN ROBINSON |
NPI Number: | 1134281603 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCMHC, LADC |
License Number: | 0000211 |
Business Practice Address: | 1233 Shelburne Rd Pierson House D2 South Burlington, VT - 054037700 |
Business Phone Number: | 8028591577 |
Business Fax Number: | 8028591571 |
Mailing Address: | 1233 Shelburne Rd, Pierson House D2 SOUTH BURLINGTON |
State: | VT |
Postal Code: | 054037700 |
Phone Number: | 8028591577 |
Fax Number: | 8028591571 |
NPI Enumeration Date: | 12/14/2006 |
NPI Last Update Date: | 12/08/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 0000211 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | VT |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |