Provider Demographics
NPI:1235327693
Name:ROBINSON, DOUGLAS ALLEN (LPC)
Entity Type:Individual
Prefix:MR
First Name:DOUGLAS
Middle Name:ALLEN
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4851 INDEPENDENCE ST.
Mailing Address - Street 2:# 100
Mailing Address - City:WHEAT RIDGE
Mailing Address - State:CO
Mailing Address - Zip Code:80003-6715
Mailing Address - Country:US
Mailing Address - Phone:303-432-5101
Mailing Address - Fax:303-432-5071
Practice Address - Street 1:4851 INDEPENDENCE ST
Practice Address - Street 2:# 100
Practice Address - City:WHEAT RIDGE
Practice Address - State:CO
Practice Address - Zip Code:80033-6715
Practice Address - Country:US
Practice Address - Phone:303-432-5101
Practice Address - Fax:303-432-5071
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-11
Last Update Date:2007-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO3239101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional