Provider Demographics
NPI:1609265529
Name:JEAN ALLBEE-ROBERSON LMFT LLC
Entity Type:Organization
Organization Name:JEAN ALLBEE-ROBERSON LMFT LLC
Other - Org Name:ALLIANCE COUNSELING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBERSON
Authorized Official - Suffix:
Authorized Official - Credentials:MS, LMFT
Authorized Official - Phone:401-996-6743
Mailing Address - Street 1:11 MAIN ST
Mailing Address - Street 2:SUITE 19
Mailing Address - City:MYSTIC
Mailing Address - State:CT
Mailing Address - Zip Code:06355-3654
Mailing Address - Country:US
Mailing Address - Phone:860-861-1453
Mailing Address - Fax:860-245-4248
Practice Address - Street 1:11 MAIN ST
Practice Address - Street 2:SUITE 19
Practice Address - City:MYSTIC
Practice Address - State:CT
Practice Address - Zip Code:06355-3654
Practice Address - Country:US
Practice Address - Phone:860-861-1453
Practice Address - Fax:860-245-4248
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-01-15
Last Update Date:2016-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT001345106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Multi-Specialty