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NPI Code Detail

MEDICARE: MRS. LESLIE ALISON ROBINSON LPC

MEDICARE: MRS. LESLIE ALISON ROBINSON 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 Counselor0701003670VA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1146762OTHERVAANTHEM/BCBS/HEALTHKEEPERS
2242496OTHERVACOMPSYCH
3345977OTHERVAMHN(MENTAL HEALTH NETWORK
4O82679MOTHERVASENTARA/SO. HEALTH/OPTIMA
57836648OTHERVAAETNA

General Provider Information

NPI Number : 1912095118
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. LESLIE ALISON ROBINSON LPC
Provider Business Mailing Address
First Line : 8948 GANTON CT
Second Line :
City : CHESTERFIELD
State : VA
Zip : 23832-2478
Country : US
Telephone Number : 804-873-7029
Fax Number :
Provider Business Practice Location Address
First Line : 6851 COURTHOUSE RD STE 300
Second Line :
City : CHESTERFIELD
State : VA
Zip : 23832-5308
Country : US
Telephone Number : 804-715-3215
Fax Number : 804-715-3233
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/11/2006
Last Update Date : 07/08/2007

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