Provider Demographics
NPI:1457837114
Name:VEREEN, ROBIN D
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:D
Last Name:VEREEN
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:
Other - Last Name:VEREEN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2944 HOLLOWAY ST
Mailing Address - Street 2:
Mailing Address - City:DURHAM
Mailing Address - State:NC
Mailing Address - Zip Code:27703-3414
Mailing Address - Country:US
Mailing Address - Phone:919-598-9707
Mailing Address - Fax:
Practice Address - Street 1:2944 HOLLOWAY ST STE 1
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27703-3414
Practice Address - Country:US
Practice Address - Phone:919-237-2320
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-16
Last Update Date:2019-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health