Provider Demographics
NPI:1629214317
Name:ROBINSON, CHRISTOPHER COLE (PLCSW)
Entity Type:Individual
Prefix:MR
First Name:CHRISTOPHER
Middle Name:COLE
Last Name:ROBINSON
Suffix:
Gender:M
Credentials:PLCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:509 W ROLLINS ST
Mailing Address - Street 2:108
Mailing Address - City:MOBERLY
Mailing Address - State:MO
Mailing Address - Zip Code:65270-1550
Mailing Address - Country:US
Mailing Address - Phone:660-263-0680
Mailing Address - Fax:
Practice Address - Street 1:509 W ROLLINS ST
Practice Address - Street 2:108
Practice Address - City:MOBERLY
Practice Address - State:MO
Practice Address - Zip Code:65270-1550
Practice Address - Country:US
Practice Address - Phone:660-263-0680
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-12-30
Last Update Date:2008-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO20080366371041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical