Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101YM0800X | Mental Health Counselor | 592 | MA |
N | 225C00000X | Rehabilitation Counselor | 31 | MA |
NPI | 1225129885 |
---|---|
Provider Name | Mrs. Joan Carolyn Robin |
First Address | Blackstone, MA 01504 |
Second Address | Blackstone, MA 01504 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 27/09/2006 |
Last Update Date | 09/05/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
118204 | TRI CARE (01) | |
118204 | VALUE OPTIONS (01) | |
180909 | MHN (01) | MA |
1895109 | (05) | MA |
2205191 | CIGNA (01) | MA |
776776000 | MAGELLAN (01) | MA |
LM0025 | BCBS (01) | MA |