Provider Demographics
NPI:1922326347
Name:LEBLANC, ROBIN L (MS)
Entity Type:Individual
Prefix:MS
First Name:ROBIN
Middle Name:L
Last Name:LEBLANC
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:ROBIN
Other - Middle Name:L
Other - Last Name:HUDSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:31870 HIGHWAY 51
Mailing Address - Street 2:
Mailing Address - City:COWETA
Mailing Address - State:OK
Mailing Address - Zip Code:74429
Mailing Address - Country:US
Mailing Address - Phone:918-279-3471
Mailing Address - Fax:918-279-1090
Practice Address - Street 1:31870 HIGHWAY 51
Practice Address - Street 2:
Practice Address - City:COWETA
Practice Address - State:OK
Practice Address - Zip Code:74429-7900
Practice Address - Country:US
Practice Address - Phone:918-279-3471
Practice Address - Fax:918-279-1090
Is Sole Proprietor?:No
Enumeration Date:2010-05-10
Last Update Date:2015-07-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
OK300522336OtherCREEK NATION CLINICS AND HOSPITAL