Doctor Name: | ROGENNA L. ROBINSON |
NPI Number: | 1861638553 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LPC |
License Number: | 59817 |
Business Practice Address: | 200 Santa Ana Ave Apt 24 Rancho Viejo, TX - 785759752 |
Business Phone Number: | 9566213593 |
Business Fax Number: | 9566213689 |
Mailing Address: | 200 Santa Ana Ave Apt 24, RANCHO VIEJO |
State: | TX |
Postal Code: | 785759752 |
Phone Number: | 9566213593 |
Fax Number: | 9566213689 |
NPI Enumeration Date: | 12/30/2008 |
NPI Last Update Date: | 03/12/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 59817 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | TX |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |