Provider Demographics
NPI:1902238033
Name:PLOHARZ, ROBIN CHRISTINE
Entity Type:Individual
Prefix:
First Name:ROBIN
Middle Name:CHRISTINE
Last Name:PLOHARZ
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1822 JENSEN AVE #102-104
Mailing Address - Street 2:
Mailing Address - City:SANGER
Mailing Address - State:CA
Mailing Address - Zip Code:93657
Mailing Address - Country:US
Mailing Address - Phone:559-875-6300
Mailing Address - Fax:559-875-6094
Practice Address - Street 1:1822 JENSEN AVE #102-104
Practice Address - Street 2:
Practice Address - City:SANGER
Practice Address - State:CA
Practice Address - Zip Code:93657
Practice Address - Country:US
Practice Address - Phone:559-875-6300
Practice Address - Fax:559-875-6094
Is Sole Proprietor?:No
Enumeration Date:2013-07-31
Last Update Date:2020-08-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)