Provider Demographics
NPI:1346767464
Name:HULL, ROBIN L (LCPC)
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:L
Last Name:HULL
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 HIGHWAY 2 STE 202B
Mailing Address - Street 2:
Mailing Address - City:SANDPOINT
Mailing Address - State:ID
Mailing Address - Zip Code:83864-2434
Mailing Address - Country:US
Mailing Address - Phone:208-263-4877
Mailing Address - Fax:
Practice Address - Street 1:1205 HIGHWAY 2 STE 202B
Practice Address - Street 2:
Practice Address - City:SANDPOINT
Practice Address - State:ID
Practice Address - Zip Code:83864-2434
Practice Address - Country:US
Practice Address - Phone:208-263-4877
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-29
Last Update Date:2024-01-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLPC-6657101YM0800X
IDLCPC-8197101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health