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NPI Code Detail

MEDICARE: ELIZABETH R ROBINSON M. COUN.

MEDICARE: ELIZABETH R ROBINSON M. COUN.
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 CounselorLPC-3449ID

General Provider Information

NPI Number : 1396767869
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH R ROBINSON M. COUN.
Provider Business Mailing Address
First Line : 284 MARTIN ST
Second Line :
City : TWIN FALLS
State : ID
Zip : 83301-4562
Country : US
Telephone Number : 208-733-7186
Fax Number : 208-733-7178
Provider Business Practice Location Address
First Line : 284 MARTIN ST
Second Line :
City : TWIN FALLS
State : ID
Zip : 83301-4562
Country : US
Telephone Number : 208-733-7186
Fax Number : 208-733-7178
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/24/2006
Last Update Date : 07/08/2007

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