Individual
ROBIN PETRIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MHC-P
Contact information
Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(937) 241-6157
Mailing address
2213 ELOU ST, WAHIAWA, HI 96786-7026
(937) 241-6157
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15957
TX
101YM0800X
Mental Health Counselor
Primary
BBH-LCPC-LIC-25185
MT
101YM0800X
Mental Health Counselor
PO5316
NY
Other
Enumeration date
03/13/2017
Last updated
02/23/2024
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