Provider Demographics
NPI:1275760878
Name:FLINN, ROBERT C (LPC)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:C
Last Name:FLINN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:20402 GRAIL QUEST
Mailing Address - Street 2:
Mailing Address - City:SAN ANTONIO
Mailing Address - State:TX
Mailing Address - Zip Code:78258-3308
Mailing Address - Country:US
Mailing Address - Phone:210-862-6992
Mailing Address - Fax:210-468-0679
Practice Address - Street 1:16607 BLANCO RD STE 702
Practice Address - Street 2:
Practice Address - City:SAN ANTONIO
Practice Address - State:TX
Practice Address - Zip Code:78232-1941
Practice Address - Country:US
Practice Address - Phone:210-862-6992
Practice Address - Fax:210-468-0679
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2017-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX62567101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX62567OtherTX LPC LICENSE