Provider Demographics
NPI:1649328139
Name:MOLLER, ROBBIE F (LPC)
Entity type:Individual
Prefix:
First Name:ROBBIE
Middle Name:F
Last Name:MOLLER
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:425 EUGENE ST
Mailing Address - Street 2:
Mailing Address - City:HOOD RIVER
Mailing Address - State:OR
Mailing Address - Zip Code:97031-2119
Mailing Address - Country:US
Mailing Address - Phone:541-386-7820
Mailing Address - Fax:
Practice Address - Street 1:205 OAK ST
Practice Address - Street 2:STE. 13
Practice Address - City:HOOD RIVER
Practice Address - State:OR
Practice Address - Zip Code:97031-2027
Practice Address - Country:US
Practice Address - Phone:541-386-7820
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC0776101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional