Provider Demographics
NPI:1629239504
Name:KROBOTH, RICHARD (LPC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:
Last Name:KROBOTH
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 1:1013 CEDARHURST DR
Mailing Address - Street 2:
Mailing Address - City:RALEIGH
Mailing Address - State:NC
Mailing Address - Zip Code:27609-5415
Mailing Address - Country:US
Mailing Address - Phone:910-836-0635
Mailing Address - Fax:
Practice Address - Street 1:1013 CEDARHURST DR
Practice Address - Street 2:
Practice Address - City:RALEIGH
Practice Address - State:NC
Practice Address - Zip Code:27609-5415
Practice Address - Country:US
Practice Address - Phone:910-836-0635
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2008-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC4139101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor