Provider Demographics
NPI:1841999380
Name:HARLESS, ROBIN LYNN (LPCC)
Entity type:Individual
Prefix:
First Name:ROBIN
Middle Name:LYNN
Last Name:HARLESS
Suffix:
Gender:F
Credentials:LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2674 CAMBRIDGE RD
Mailing Address - Street 2:
Mailing Address - City:GRAND JUNCTION
Mailing Address - State:CO
Mailing Address - Zip Code:81506-1868
Mailing Address - Country:US
Mailing Address - Phone:989-424-9531
Mailing Address - Fax:855-248-6187
Practice Address - Street 1:2350 G RD STE 2
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81505-2302
Practice Address - Country:US
Practice Address - Phone:970-985-8110
Practice Address - Fax:855-248-6187
Is Sole Proprietor?:Yes
Enumeration Date:2023-02-23
Last Update Date:2023-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPCC.0020449101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health