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NPI Code Detail

MEDICARE: ROBIN L. LOONEY LICDC

MEDICARE: ROBIN L. LOONEY LICDC
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
1101YA0400XAddiction (Substance Use Disorder) CounselorS.0023667OH
2104100000XSocial Worker0023667OH

General Provider Information

NPI Number : 1518251495
Entity Type Code : Individual
Provider Name (Legal Business Name) : ROBIN L. LOONEY LICDC
Provider Business Mailing Address
First Line : 178 PRIVATE ROAD 19423
Second Line :
City : SOUTH POINT
State : OH
Zip : 45680-8831
Country : US
Telephone Number : 740-263-2626
Fax Number :
Provider Business Practice Location Address
First Line : 178 PRIVATE ROAD 19423
Second Line :
City : SOUTH POINT
State : OH
Zip : 45680-8831
Country : US
Telephone Number : 740-263-2626
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/08/2011
Last Update Date : 12/21/2018

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Directions to “ ROBIN L. LOONEY LICDC” Practice Location

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