Individual
MARS RAY ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PSY.D,M.A., L.M.F.T.
Contact information
Practice address
3406 MOLLY LN, BROOMFIELD, CO 80023-4519
(563) 343-4228
Mailing address
3406 MOLLY LN, BROOMFIELD, CO 80023-4519
(563) 343-4228
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
00192
IA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0283507
—
IA
Enumeration date
10/04/2006
Last updated
10/20/2008
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