Doctor Name: | KRIS ROBERTSON-SMITH |
NPI Number: | 1992830756 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPRP |
License Number: | 170021 |
Business Practice Address: | 1800 Chicago Ave Vocational Services Program Minneapolis, MN - 554041901 |
Business Phone Number: | 6128793532 |
Business Fax Number: | |
Mailing Address: | 1454 Roselawn Ave W, FALCON HEIGHTS |
State: | MN |
Postal Code: | 551135850 |
Phone Number: | 6128793532 |
Fax Number: | |
NPI Enumeration Date: | 02/22/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | 170021 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MN |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |