Provider Demographics
NPI:1871920868
Name:ROBBINS, JOANNA NICOLE (MA, LCPC)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:NICOLE
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:MA, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:907 WILDROSE SPRINGS DR
Mailing Address - Street 2:
Mailing Address - City:ST CHARLES
Mailing Address - State:IL
Mailing Address - Zip Code:60174-5539
Mailing Address - Country:US
Mailing Address - Phone:630-518-8403
Mailing Address - Fax:
Practice Address - Street 1:907 WILDROSE SPRINGS DR
Practice Address - Street 2:
Practice Address - City:ST CHARLES
Practice Address - State:IL
Practice Address - Zip Code:60174-5539
Practice Address - Country:US
Practice Address - Phone:630-518-8403
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-04
Last Update Date:2013-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180008788101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional