Individual
MS. MARIA ANNALISE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
283 HEIGHTS LANE, CLAYTON, GA 30525
(706) 782-9758
(706) 782-9758
Mailing address
283 HEIGHTS LANE, CLAYTON, GA 30525
(706) 782-9758
(706) 782-9758
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LPC004529
GA
101YP2500X
Professional Counselor
Primary
LPC004529
GA
106H00000X
Marriage & Family Therapist
LPC004529
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
775816127A
—
GA
01
—
LPC004529
STATE LICENSE COUNSELOR
GA
Enumeration date
01/23/2007
Last updated
06/11/2008
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