Provider Demographics
NPI:1881037034
Name:ROBINSON, NANCI LU
Entity Type:Individual
Prefix:MS
First Name:NANCI
Middle Name:LU
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7943 BROOKWOOD DR
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:MI
Mailing Address - Zip Code:48348-4470
Mailing Address - Country:US
Mailing Address - Phone:248-303-4633
Mailing Address - Fax:
Practice Address - Street 1:7943 BROOKWOOD DR
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:MI
Practice Address - Zip Code:48348-4470
Practice Address - Country:US
Practice Address - Phone:248-303-4633
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-04-08
Last Update Date:2013-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)