Provider Demographics
NPI:1982042685
Name:ROBERSHAW, ANNE (LMFT)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:
Last Name:ROBERSHAW
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:ANNE
Other - Middle Name:
Other - Last Name:MILLIKEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:PO BOX 74
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98227-0074
Mailing Address - Country:US
Mailing Address - Phone:760-314-4644
Mailing Address - Fax:
Practice Address - Street 1:1325 LINCOLN STREET
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98229-6253
Practice Address - Country:US
Practice Address - Phone:760-314-4644
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-05
Last Update Date:2022-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF61273121106H00000X
CA89621106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist