Provider Demographics
NPI:1104521467
Name:ROBBINS-HUTCHISON, MELISSA DIANE (LPC)
Entity type:Individual
Prefix:
First Name:MELISSA
Middle Name:DIANE
Last Name:ROBBINS-HUTCHISON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1381
Mailing Address - Street 2:
Mailing Address - City:THAYNE
Mailing Address - State:WY
Mailing Address - Zip Code:83127-1381
Mailing Address - Country:US
Mailing Address - Phone:307-413-4169
Mailing Address - Fax:
Practice Address - Street 1:389 ADAMS ST
Practice Address - Street 2:
Practice Address - City:AFTON
Practice Address - State:WY
Practice Address - Zip Code:83110-5056
Practice Address - Country:US
Practice Address - Phone:307-885-9883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-04
Last Update Date:2023-04-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ID9366101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health