Individual
GERALD ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
720 KENYON RD, FORT DODGE, IA 50501-5759
(515) 955-7171
Mailing address
720 KENYON RD, FORT DODGE, IA 50501-5759
(515) 955-7171
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
20001
IA
101YM0800X
Mental Health Counselor
Primary
078315
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0159608
—
IA
01
—
07466
WELLMARK BC
—
Enumeration date
06/30/2015
Last updated
07/21/2021
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