Provider Demographics
NPI:1982278644
Name:ROBINSON, VALERIE EUGUENIA (MS, LPC, LCPC-S)
Entity type:Individual
Prefix:
First Name:VALERIE
Middle Name:EUGUENIA
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MS, LPC, LCPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1208 POTOMAC AVE SE
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20003-4116
Mailing Address - Country:US
Mailing Address - Phone:202-657-2242
Mailing Address - Fax:
Practice Address - Street 1:1208 POTOMAC AVE SE
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20003-4116
Practice Address - Country:US
Practice Address - Phone:202-657-2242
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-05-18
Last Update Date:2021-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC5400101YP2500X
DCPRC68101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty