| Doctor Name: | JORDAN K. ROBINS |
| NPI Number: | 1215041793 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | LCSW |
| License Number: | LCSW-29493 |
| Business Practice Address: | 1320 Bennette Ave Ste B Family Health Services Burley, ID - 833182665 |
| Business Phone Number: | 2086780101 |
| Business Fax Number: | 2086780303 |
| Mailing Address: | 1320 Bennett Ave Ste. B, Family Health Services BURLEY |
| State: | ID |
| Postal Code: | 833182665 |
| Phone Number: | 2086780101 |
| Fax Number: | 2086780303 |
| NPI Enumeration Date: | 08/19/2006 |
| NPI Last Update Date: | 08/27/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 1041C0700X |
| License Number: | LCSW-29493 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Social Worker |
| Taxonomy Specialization: | Clinical |
| Taxonomy Definition: | A social worker who holds a master |