Doctor Name: | BETTY J ROBINSON |
NPI Number: | 1275690455 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 5588 |
Business Practice Address: | 4389 Indian Trail Fairview Rd Suite 13 Indian Trail, NC - 280799639 |
Business Phone Number: | 7048827716 |
Business Fax Number: | 8888827113 |
Mailing Address: | 4389 Indian Trail Fairview Rd, Suite 13 INDIAN TRAIL |
State: | NC |
Postal Code: | 280799639 |
Phone Number: | 7048827716 |
Fax Number: | 8888827113 |
NPI Enumeration Date: | 01/03/2007 |
NPI Last Update Date: | 08/27/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 5588 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |