Individual
DR. ESTELLE LACOSTE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D., LPC
Contact information
Practice address
1455 E PASS RD, B, GULFPORT, MS 39507-3523
(228) 563-3879
Mailing address
1455 E PASS RD, B, GULFPORT, MS 39507-3523
(228) 563-3879
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
1715
MS
Other
Enumeration date
03/19/2013
Last updated
03/19/2013
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