Provider Demographics
NPI:1124182795
Name:ROBINSON, KENT (LPC)
Entity type:Individual
Prefix:
First Name:KENT
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2764 E MILLBROOK RD
Mailing Address - Street 2:
Mailing Address - City:MT PLEASANT
Mailing Address - State:MI
Mailing Address - Zip Code:48858-9147
Mailing Address - Country:US
Mailing Address - Phone:989-773-9328
Mailing Address - Fax:989-773-1903
Practice Address - Street 1:118 S WASHINGTON ST
Practice Address - Street 2:
Practice Address - City:MT PLEASANT
Practice Address - State:MI
Practice Address - Zip Code:48858-2513
Practice Address - Country:US
Practice Address - Phone:989-773-9328
Practice Address - Fax:989-773-1903
Is Sole Proprietor?:No
Enumeration Date:2006-12-20
Last Update Date:2007-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health