Individual
DIANA GAIL ROBINSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LADC
Contact information
Practice address
722 15TH ST NW, BEMIDJI, MN 56601-2528
(218) 751-3280
(218) 751-3298
Mailing address
722 15TH ST NW, P.O. BOX 640, BEMIDJI, MN 56601-2528
(218) 751-3280
(218) 751-3298
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
301470
MN
Other
Enumeration date
08/29/2011
Last updated
08/29/2011
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