Provider Demographics
NPI:1275944928
Name:LEE, ROBIN JILL (MA, LMHC,MHP)
Entity Type:Individual
Prefix:MRS
First Name:ROBIN
Middle Name:JILL
Last Name:LEE
Suffix:
Gender:F
Credentials:MA, LMHC,MHP
Other - Prefix:
Other - First Name:ROBIN
Other - Middle Name:JILL
Other - Last Name:ADLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMHC,MHP
Mailing Address - Street 1:304 SE HEARTWOOD BLVD
Mailing Address - Street 2:UNIT 873932
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98687
Mailing Address - Country:US
Mailing Address - Phone:360-861-4724
Mailing Address - Fax:360-397-8494
Practice Address - Street 1:304 SE HEARTWOOD BLVD
Practice Address - Street 2:UNIT 873932
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98687
Practice Address - Country:US
Practice Address - Phone:360-861-4724
Practice Address - Fax:360-397-8494
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-15
Last Update Date:2021-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60475236101YM0800X
WALH60607283101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health