Provider Demographics
NPI:1295256014
Name:ROBINSON, LOUANNE M (LCPC-C)
Entity type:Individual
Prefix:
First Name:LOUANNE
Middle Name:M
Last Name:ROBINSON
Suffix:
Gender:F
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37 MILL ST STE 8
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:ME
Mailing Address - Zip Code:04011-1914
Mailing Address - Country:US
Mailing Address - Phone:207-251-1973
Mailing Address - Fax:
Practice Address - Street 1:37 MILL ST STE 8
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:ME
Practice Address - Zip Code:04011-1914
Practice Address - Country:US
Practice Address - Phone:207-251-1973
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-01
Last Update Date:2019-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL4873101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional