Provider Demographics
NPI:1578683181
Name:ROBINSON, BRANDON (MS, CRC, LPC)
Entity Type:Individual
Prefix:
First Name:BRANDON
Middle Name:
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:MS, CRC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5831 OSPREY COVE DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27604-4091
Mailing Address - Country:US
Mailing Address - Phone:919-673-1383
Mailing Address - Fax:
Practice Address - Street 1:5831 OSPREY COVE DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27604-4091
Practice Address - Country:US
Practice Address - Phone:919-673-1383
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5531101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional