Provider Demographics
NPI:1205360096
Name:ROBINSON, SHELBIE MAY (AAC)
Entity Type:Individual
Prefix:
First Name:SHELBIE
Middle Name:MAY
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:AAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:653 NE FRANKLIN AVE
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-2123
Mailing Address - Country:US
Mailing Address - Phone:360-520-0133
Mailing Address - Fax:
Practice Address - Street 1:653 NE FRANKLIN AVE
Practice Address - Street 2:
Practice Address - City:CHEHALIS
Practice Address - State:WA
Practice Address - Zip Code:98532-2123
Practice Address - Country:US
Practice Address - Phone:360-880-5137
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-18
Last Update Date:2020-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG 60701207101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health