Provider Demographics
NPI:1558621169
Name:ROBBINS, DEAN HOWARD (LCMHC, MLADC)
Entity Type:Individual
Prefix:
First Name:DEAN
Middle Name:HOWARD
Last Name:ROBBINS
Suffix:
Gender:M
Credentials:LCMHC, MLADC
Other - Prefix:
Other - First Name:DEAN
Other - Middle Name:HOWARD
Other - Last Name:ROBBINS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, MLADC
Mailing Address - Street 1:6 BUTTRICK RD STE 102
Mailing Address - Street 2:
Mailing Address - City:LONDONDERRY
Mailing Address - State:NH
Mailing Address - Zip Code:03053-3417
Mailing Address - Country:US
Mailing Address - Phone:603-537-1300
Mailing Address - Fax:
Practice Address - Street 1:14A TSIENNETO RD
Practice Address - Street 2:
Practice Address - City:DERRY
Practice Address - State:NH
Practice Address - Zip Code:03038-1505
Practice Address - Country:US
Practice Address - Phone:603-537-1300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-05-17
Last Update Date:2019-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1202101YA0400X
101YM0800X
NH2004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)