Doctor Name: | MRS. TRISHA ROBINSON |
NPI Number: | 1174850374 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 2009006967 |
Business Practice Address: | 108 W Jasper St Versailles, MO - 650841020 |
Business Phone Number: | 5733786833 |
Business Fax Number: | 5733786823 |
Mailing Address: | Po Box 21, VERSAILLES |
State: | MO |
Postal Code: | 650840021 |
Phone Number: | 5733786833 |
Fax Number: | 5733786823 |
NPI Enumeration Date: | 11/09/2009 |
NPI Last Update Date: | 02/25/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 2009006967 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |