Provider Demographics
NPI:1467469379
Name:ROBINSON, CHERYL ANN (LPC)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:ROBINSON
Suffix:
Gender:F
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:PO BOX 850545
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73085-0545
Mailing Address - Country:US
Mailing Address - Phone:405-350-6644
Mailing Address - Fax:405-350-6644
Practice Address - Street 1:508 W VANDAMENT AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-4655
Practice Address - Country:US
Practice Address - Phone:405-350-6644
Practice Address - Fax:405-350-6644
Is Sole Proprietor?:No
Enumeration Date:2006-08-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK1196101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional