Provider Demographics
NPI:1912286113
Name:ROBERTSON, MARGARET ANN (DMIN, LMHC)
Entity Type:Individual
Prefix:DR
First Name:MARGARET
Middle Name:ANN
Last Name:ROBERTSON
Suffix:
Gender:F
Credentials:DMIN, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5572 SKYFALL PL NW
Mailing Address - Street 2:
Mailing Address - City:BREMERTON
Mailing Address - State:WA
Mailing Address - Zip Code:98312-7801
Mailing Address - Country:US
Mailing Address - Phone:541-630-3888
Mailing Address - Fax:253-697-0128
Practice Address - Street 1:5572 SKYFALL PL NW
Practice Address - Street 2:
Practice Address - City:BREMERTON
Practice Address - State:WA
Practice Address - Zip Code:98312-7801
Practice Address - Country:US
Practice Address - Phone:541-630-3888
Practice Address - Fax:253-697-0128
Is Sole Proprietor?:No
Enumeration Date:2011-08-05
Last Update Date:2024-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ORC5565101YM0800X
101YP1600X
WALH60280509101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral