Individual
MRS. ROBIN GAIL HOSTETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC-S
Contact information
Practice address
6600 W CHARLESTON BLVD, LAS VEGAS, NV 89146-9001
(702) 437-4673
(702) 438-4673
Mailing address
6600 W CHARLESTON BLVD, LAS VEGAS, NV 89146-9001
(702) 437-4673
(702) 438-4673
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
E-0501217
OH
101YP2500X
Professional Counselor
Primary
CP1182-R
NV
101YP2500X
Professional Counselor
E-0501217
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0074861
MEDICAID-ODADAS
OH
01
—
0074946
MEDICAID-ODMH
OH
01
—
01-0693
CARF CERTIFICATION
OH
01
—
H130910
MEDICARE GROUP PTAN
OH
Enumeration date
12/07/2011
Last updated
07/18/2019
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