Provider Demographics
NPI:1073952560
Name:MITCHELL, ROBYN KATRINA (LPC-CANDIDATE)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:KATRINA
Last Name:MITCHELL
Suffix:
Gender:F
Credentials:LPC-CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5002 SW OXFORD PL
Mailing Address - Street 2:
Mailing Address - City:LAWTON
Mailing Address - State:OK
Mailing Address - Zip Code:73505-0827
Mailing Address - Country:US
Mailing Address - Phone:580-215-8232
Mailing Address - Fax:
Practice Address - Street 1:5002 SW OXFORD PL
Practice Address - Street 2:
Practice Address - City:LAWTON
Practice Address - State:OK
Practice Address - Zip Code:73505-0827
Practice Address - Country:US
Practice Address - Phone:580-678-8282
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-18
Last Update Date:2022-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171W00000XOther Service ProvidersContractor