Doctor Name: | MR. LEE MARVIN ROBINSON |
NPI Number: | 1427381987 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LPC |
License Number: | 6659 |
Business Practice Address: | 504 Chimney Rock Rd Everman, TX - 761404704 |
Business Phone Number: | 8175511756 |
Business Fax Number: | 8173364026 |
Mailing Address: | 504 Chimney Rock Rd, EVERMAN |
State: | TX |
Postal Code: | 761404704 |
Phone Number: | 8175511756 |
Fax Number: | 8173364026 |
NPI Enumeration Date: | 09/15/2009 |
NPI Last Update Date: | 09/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YA0400X |
License Number: | 6659 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Addiction (Substance Use Disorder) |
Taxonomy Definition: |