Provider Demographics
NPI:1225806581
Name:WALKER, ROBYN ROSE (MA, LPCC, LADC)
Entity Type:Individual
Prefix:
First Name:ROBYN
Middle Name:ROSE
Last Name:WALKER
Suffix:
Gender:F
Credentials:MA, LPCC, LADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1269 CLEVELAND AVE N APT 5
Mailing Address - Street 2:
Mailing Address - City:SAINT PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55108-1827
Mailing Address - Country:US
Mailing Address - Phone:651-315-4794
Mailing Address - Fax:
Practice Address - Street 1:1269 CLEVELAND AVE N APT 5
Practice Address - Street 2:
Practice Address - City:SAINT PAUL
Practice Address - State:MN
Practice Address - Zip Code:55108-1827
Practice Address - Country:US
Practice Address - Phone:651-315-4794
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-12-18
Last Update Date:2023-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN4178101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional