Provider Demographics
NPI:1902068976
Name:ROBINSON, WILLIAM J JR (LCPC)
Entity Type:Individual
Prefix:MR
First Name:WILLIAM
Middle Name:J
Last Name:ROBINSON
Suffix:JR
Gender:M
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:549 AVENUE RD
Mailing Address - Street 2:
Mailing Address - City:LEVANT
Mailing Address - State:ME
Mailing Address - Zip Code:04456-4007
Mailing Address - Country:US
Mailing Address - Phone:207-852-3553
Mailing Address - Fax:207-564-0352
Practice Address - Street 1:1073 W MAIN ST
Practice Address - Street 2:
Practice Address - City:DOVER FOXCROFT
Practice Address - State:ME
Practice Address - Zip Code:04426-3742
Practice Address - Country:US
Practice Address - Phone:207-564-0200
Practice Address - Fax:207-564-0352
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2012-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MEXL3399101YP2500X
MECC3786101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional