Individual
ELYSE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, LPCC, LADC
Contact information
Practice address
14665 GALAXIE AVE STE 140, APPLE VALLEY, MN 55124-4509
(651) 456-8494
Mailing address
416 INTERLACHEN LN, BURNSVILLE, MN 55306-6410
(515) 669-9100
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
305988
MN
101YP2500X
Professional Counselor
Primary
CC04188
MN
Other
Enumeration date
05/11/2023
Last updated
04/22/2026
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