Provider Demographics
NPI:1558691998
Name:DANZMAN, ROBARN (LPC)
Entity Type:Individual
Prefix:MR
First Name:ROBARN
Middle Name:
Last Name:DANZMAN
Suffix:
Gender:M
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 E KIRKWOOD AVE
Mailing Address - Street 2:SUITE 5
Mailing Address - City:BLOOMINGTON
Mailing Address - State:IN
Mailing Address - Zip Code:47408-3559
Mailing Address - Country:US
Mailing Address - Phone:812-727-0722
Mailing Address - Fax:919-928-5225
Practice Address - Street 1:221 E KIRKWOOD AVE
Practice Address - Street 2:SUITE 5
Practice Address - City:BLOOMINGTON
Practice Address - State:IN
Practice Address - Zip Code:47408-3559
Practice Address - Country:US
Practice Address - Phone:812-727-0722
Practice Address - Fax:919-928-5225
Is Sole Proprietor?:No
Enumeration Date:2010-01-07
Last Update Date:2017-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC7647101YM0800X, 101Y00000X, 101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor