Provider Demographics
NPI:1891315602
Name:ROBINSON, DINA LYNN (LPCC)
Entity Type:Individual
Prefix:
First Name:DINA
Middle Name:LYNN
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:416 RIVERSIDE DR SE
Mailing Address - Street 2:
Mailing Address - City:SAINT CLOUD
Mailing Address - State:MN
Mailing Address - Zip Code:56304-1030
Mailing Address - Country:US
Mailing Address - Phone:320-630-8511
Mailing Address - Fax:
Practice Address - Street 1:416 RIVERSIDE DR SE
Practice Address - Street 2:
Practice Address - City:SAINT CLOUD
Practice Address - State:MN
Practice Address - Zip Code:56304-1030
Practice Address - Country:US
Practice Address - Phone:320-630-8511
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-22
Last Update Date:2020-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MNCC01884101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health