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NPI Code Detail

MEDICARE: MRS. ROBIN K ROSARIO M.A., LPC

MEDICARE:  MRS. ROBIN K ROSARIO  M.A., LPC
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
1101YP2500XProfessional Counselor4249NC

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1136UMOTHERNCBCBS PROVIDER #

General Provider Information

NPI Number : 1881713709
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. ROBIN K ROSARIO M.A., LPC
Provider Business Mailing Address
First Line : 4325 WORLEY DR
Second Line :
City : RALEIGH
State : NC
Zip : 27613-1593
Country : US
Telephone Number : 919-420-0035
Fax Number :
Provider Business Practice Location Address
First Line : 809 SPRING FOREST RD
Second Line :
City : RALEIGH
State : NC
Zip : 27609-9700
Country : US
Telephone Number : 919-649-5882
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/29/2007
Last Update Date : 07/08/2007

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