Provider Demographics
NPI:1164941712
Name:SACKMANN, ROBIN J (MA, LPC, NCC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:J
Last Name:SACKMANN
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 BIRCH ST
Mailing Address - Street 2:
Mailing Address - City:BROOMFIELD
Mailing Address - State:CO
Mailing Address - Zip Code:80020-2608
Mailing Address - Country:US
Mailing Address - Phone:303-465-2290
Mailing Address - Fax:
Practice Address - Street 1:80 GARDEN CTR STE 136
Practice Address - Street 2:
Practice Address - City:BROOMFIELD
Practice Address - State:CO
Practice Address - Zip Code:80020-1790
Practice Address - Country:US
Practice Address - Phone:720-560-2687
Practice Address - Fax:303-465-2290
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-14
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0011798101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional