Provider Demographics
NPI:1154836682
Name:HILLIARD ALBERTSON, ROBIN (MFT)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:
Last Name:HILLIARD ALBERTSON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1750 PRAIRIE CITY RD STE 130
Mailing Address - Street 2:
Mailing Address - City:FOLSOM
Mailing Address - State:CA
Mailing Address - Zip Code:95630-9597
Mailing Address - Country:US
Mailing Address - Phone:916-298-4752
Mailing Address - Fax:
Practice Address - Street 1:11249 GOLD COUNTRY BLVD
Practice Address - Street 2:
Practice Address - City:GOLD RIVER
Practice Address - State:CA
Practice Address - Zip Code:95670-9597
Practice Address - Country:US
Practice Address - Phone:916-298-4752
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-12-06
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF102801106H00000X
CALMFT115823106H00000X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist