Individual
NICOLE M ROBB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
17 EVANS AVE, WYOMISSING, PA 19610
(717) 575-0104
Mailing address
17 EVANS AVE, WYOMISSING, PA 19610
(717) 575-0104
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
PC011443
PA
101YP2500X
Professional Counselor
PC011443
PA
103K00000X
Behavior Analyst
—
—
Other
Enumeration date
05/07/2014
Last updated
02/24/2021
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