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NPI Code Detail

MEDICARE: KEVIN ROBINSON LPC, LAC

MEDICARE: KEVIN ROBINSON LPC, LAC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YA0400XAddiction (Substance Use Disorder) CounselorACD.0001840CO
2101Y00000XCounselorLPC.0015500CO

General Provider Information

NPI Number : 1720673072
Entity Type Code : Individual
Provider Name (Legal Business Name) : KEVIN ROBINSON LPC, LAC
Provider Business Mailing Address
First Line : 1651 KENDALL ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80214-1412
Country : US
Telephone Number : 720-446-9213
Fax Number :
Provider Business Practice Location Address
First Line : 1651 KENDALL ST
Second Line :
City : LAKEWOOD
State : CO
Zip : 80214-1412
Country : US
Telephone Number : 720-446-9213
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/08/2021
Last Update Date : 08/06/2021

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