Provider Demographics
NPI:1093198491
Name:ROBBIN L KLEIN COUNSELING SERVICES
Entity Type:Organization
Organization Name:ROBBIN L KLEIN COUNSELING SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROBBIN
Authorized Official - Middle Name:L
Authorized Official - Last Name:KLEIN
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW
Authorized Official - Phone:815-266-1166
Mailing Address - Street 1:524 W STEPHENSON ST
Mailing Address - Street 2:SUITE 209B
Mailing Address - City:FREEPORT
Mailing Address - State:IL
Mailing Address - Zip Code:61032-5057
Mailing Address - Country:US
Mailing Address - Phone:815-266-1166
Mailing Address - Fax:
Practice Address - Street 1:524 W STEPHENSON ST
Practice Address - Street 2:SUITE 209B
Practice Address - City:FREEPORT
Practice Address - State:IL
Practice Address - Zip Code:61032-5057
Practice Address - Country:US
Practice Address - Phone:815-266-1166
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-07-02
Last Update Date:2015-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149014030101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)Group - Single Specialty