MEDICARE: JANELLE MARIE ROBINETTE LPC, LSOTP

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
1	101Y00000X	Counselor	99289	TX
2	101YP2500X	Professional Counselor	68204	TX

General Provider Information

NPI Number	:	1316377989
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JANELLE MARIE ROBINETTE LPC, LSOTP

Provider Business Mailing Address
First Line	:	17814 GLENMARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-1622
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	17814 GLENMARK DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77084-1622
Country	:	US
Telephone Number	:	979-575-0893
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/19/2013
Last Update Date	:	11/19/2013

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