| Organization Name: | ROBIN FENLON LMSW PC |
| NPI Number: | 1144516428 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROBIN LUCINDA FENLON (OWNER) |
| Mailing Address: | 740 Center St Clio |
| State: | MI US |
| Postal Code: | 484201134 |
| Phone Number: | 8106867313 |
| Fax Number: | 8106867315 |
| NPI Enumeration Date: | 06/24/2011 |
| NPI Last Update Date: | 06/24/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YA0400X |
| License Number: | 6801067778 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MI |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Addiction (Substance Use Disorder) |
| Taxonomy Definition: | |