Healthcare Provider Details

I. General information

NPI: 1083763163
Provider Name (Legal Business Name): ROBIN STOKES EXUM M.ED. LPC, LCDC, AAC
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/09/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2208 W 34TH ST
HOUSTON TX
77018-6005
US

IV. Provider business mailing address

10406 CRESCENT MOON DR
HOUSTON TX
77064-4346
US

V. Phone/Fax

Practice location:
  • Phone: 713-956-6337
  • Fax: 713-956-0320
Mailing address:
  • Phone: 281-955-6553
  • Fax: 713-956-0320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number60711
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: