Provider Demographics
NPI:1972672566
Name:ROBINSON, CORALINE SYLVIE (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:CORALINE
Middle Name:SYLVIE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 125
Mailing Address - Street 2:
Mailing Address - City:SAN LUIS OBISPO
Mailing Address - State:CA
Mailing Address - Zip Code:93406-0125
Mailing Address - Country:US
Mailing Address - Phone:805-781-6401
Mailing Address - Fax:805-781-6410
Practice Address - Street 1:51 ZACA LN STE 150
Practice Address - Street 2:
Practice Address - City:SAN LUIS OBISPO
Practice Address - State:CA
Practice Address - Zip Code:93401-7319
Practice Address - Country:US
Practice Address - Phone:805-781-6401
Practice Address - Fax:805-781-6410
Is Sole Proprietor?:No
Enumeration Date:2006-11-07
Last Update Date:2015-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X
CA49217106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health