Healthcare Provider Details

I. General information

NPI: 1255750691
Provider Name (Legal Business Name): SOMER JULENE ROBB LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/14/2014
Last Update Date: 10/06/2026
Certification Date: 10/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

506 S POPLAR ST
SAPULPA OK
74066-4131
US

IV. Provider business mailing address

506 S POPLAR ST
SAPULPA OK
74066-4131
US

V. Phone/Fax

Practice location:
  • Phone: 918-512-1736
  • Fax:
Mailing address:
  • Phone: 918-512-1736
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number10034
License Number StateOK

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: