Provider Demographics
NPI:1598531154
Name:ROBINSON, KATHIE JO (CDCA)
Entity Type:Individual
Prefix:
First Name:KATHIE
Middle Name:JO
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:CDCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:501 RIDGELAWN AVE
Mailing Address - Street 2:
Mailing Address - City:HAMILTON
Mailing Address - State:OH
Mailing Address - Zip Code:45013-2905
Mailing Address - Country:US
Mailing Address - Phone:513-437-8970
Mailing Address - Fax:
Practice Address - Street 1:501 RIDGELAWN AVE
Practice Address - Street 2:
Practice Address - City:HAMILTON
Practice Address - State:OH
Practice Address - Zip Code:45013-2905
Practice Address - Country:US
Practice Address - Phone:513-437-8970
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-27
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH182424101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)