Provider Demographics
NPI:1518392216
Name:ROBINSON, JASON Z (MSCP)
Entity Type:Individual
Prefix:
First Name:JASON
Middle Name:Z
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MSCP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3003 MINNESOTA DR
Mailing Address - Street 2:SUITE # 204
Mailing Address - City:ANCHORAGE
Mailing Address - State:AK
Mailing Address - Zip Code:99503-3673
Mailing Address - Country:US
Mailing Address - Phone:907-306-2545
Mailing Address - Fax:907-279-9269
Practice Address - Street 1:3003 MINNESOTA DR
Practice Address - Street 2:SUITE # 204
Practice Address - City:ANCHORAGE
Practice Address - State:AK
Practice Address - Zip Code:99503-3673
Practice Address - Country:US
Practice Address - Phone:907-306-2545
Practice Address - Fax:907-279-9269
Is Sole Proprietor?:Yes
Enumeration Date:2013-09-12
Last Update Date:2013-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health