Provider Demographics
NPI:1003140450
Name:ROBINSON, JEANNE S (MS, LPC,MHSP)
Entity Type:Individual
Prefix:MRS
First Name:JEANNE
Middle Name:S
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:MS, LPC,MHSP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1724 COUNTRY CLUB DR
Mailing Address - Street 2:
Mailing Address - City:TULLAHOMA
Mailing Address - State:TN
Mailing Address - Zip Code:37388-4825
Mailing Address - Country:US
Mailing Address - Phone:423-312-3364
Mailing Address - Fax:
Practice Address - Street 1:11133 TULLAHOMA HWY
Practice Address - Street 2:
Practice Address - City:TULLAHOMA
Practice Address - State:TN
Practice Address - Zip Code:37388-6016
Practice Address - Country:US
Practice Address - Phone:931-454-9994
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-10-01
Last Update Date:2014-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN2541101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional