Provider Demographics
NPI:1700447471
Name:ROBBINS, KATHY DIANE (LPC CANDIDATE)
Entity type:Individual
Prefix:MRS
First Name:KATHY
Middle Name:DIANE
Last Name:ROBBINS
Suffix:
Gender:F
Credentials:LPC CANDIDATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3852 SE 54TH PL
Mailing Address - Street 2:
Mailing Address - City:NORMAN
Mailing Address - State:OK
Mailing Address - Zip Code:73072-1015
Mailing Address - Country:US
Mailing Address - Phone:405-308-2272
Mailing Address - Fax:
Practice Address - Street 1:6801 S WESTERN AVE STE 203&205
Practice Address - Street 2:
Practice Address - City:OKLAHOMA CITY
Practice Address - State:OK
Practice Address - Zip Code:73139-1817
Practice Address - Country:US
Practice Address - Phone:405-821-6447
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-24
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional