MEDICARE: MS. ROBIN JOSEPH LPC

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	101YM0800X	Mental Health Counselor	0701007989	VA

General Provider Information

NPI Number	:	1871059048
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ROBIN JOSEPH LPC

Provider Business Mailing Address
First Line	:	218 N LEE ST FL 3
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2631
Country	:	US
Telephone Number	:	405-596-0365
Fax Number	:

Provider Business Practice Location Address
First Line	:	218 N LEE ST FL 3
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22314-2631
Country	:	US
Telephone Number	:	571-572-9526
Fax Number	:	571-234-6699

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

Provider Enumeration Date	:	02/13/2019
Last Update Date	:	04/06/2023

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