Provider Demographics
NPI:1720681463
Name:ROBINSON, JANELLE RENEE (PHD, LPCA)
Entity Type:Individual
Prefix:DR
First Name:JANELLE
Middle Name:RENEE
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:PHD, LPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1001 WILDWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:SC
Mailing Address - Zip Code:29203-5819
Mailing Address - Country:US
Mailing Address - Phone:412-880-1390
Mailing Address - Fax:
Practice Address - Street 1:1001 WILDWOOD AVE
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:SC
Practice Address - Zip Code:29203-5819
Practice Address - Country:US
Practice Address - Phone:412-880-1390
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-17
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health