Individual
MR. DONTAVIUS ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
755 W COVELL RD STE 100, EDMOND, OK 73003-2381
(405) 378-2727
Mailing address
755 W COVELL RD STE 100, EDMOND, OK 73003-2381
(405) 378-2727
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LPC07352
OK
101YP2500X
Professional Counselor
Primary
LPC07352
OK
171M00000X
Case Manager/Care Coordinator
—
—
Other
Enumeration date
10/05/2014
Last updated
12/23/2024
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