Provider Demographics
NPI:1083763163
Name:EXUM, ROBIN STOKES (MED LPC, LCDC, AAC)
Entity Type:Individual
Prefix:MR
First Name:ROBIN
Middle Name:STOKES
Last Name:EXUM
Suffix:
Gender:M
Credentials:MED LPC, LCDC, AAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10406 CRESCENT MOON DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77064-4346
Mailing Address - Country:US
Mailing Address - Phone:281-955-6553
Mailing Address - Fax:713-956-0320
Practice Address - Street 1:2208 W 34TH ST
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77018-6005
Practice Address - Country:US
Practice Address - Phone:713-956-6337
Practice Address - Fax:713-956-0320
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-09
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX60711101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional