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Individual

BETTY J ROBINSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
LPC

Contact information

Practice address
4389 INDIAN TRAIL FAIRVIEW RD, SUITE 13, INDIAN TRAIL, NC 28079-9639
(704) 882-7716
(888) 882-7113
Mailing address
4389 INDIAN TRAIL FAIRVIEW RD, SUITE 13, INDIAN TRAIL, NC 28079-9639
(704) 882-7716
(888) 882-7113

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
3661
NC
101YP2500X
Professional Counselor
5588
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
6005126
NC
01
BCBS
133U5
01
CAQH
11338543
01
MAGELLAN
283541000
01
VALUEOPTIONS
006516
01
VMC
023658
Enumeration date
01/03/2007
Last updated
08/27/2009
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