Individual
KIM ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
12662 SAVERTON WEST DR, NEW LONDON, MO 63459-3639
(573) 248-7176
Mailing address
12662 SAVERTON WEST DR, NEW LONDON, MO 63459-3639
(573) 248-7176
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2001004275
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499046001
—
MO
Enumeration date
05/08/2006
Last updated
10/28/2010
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