Individual provider · Type 1 NPI

Robin Stumborg, AS

Mental Health Counselor · Olney, IL

NPI number 1902355548 Active

Practice location

515 W Saint John St
Olney, IL 62450-1426

Fax (618) 395-8063

Mailing address

504 Micah Dr, Drawer M
Olney, IL 62450-4720

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Mental Health Counselor Primary 101YM0800XNone listed

Mental Health Counselor: Definition to come...

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About NPI 1902355548

Robin Stumborg, AS's National Provider Identifier is 1902355548, issued on Sep 23, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Olney, IL. The record was last updated on Sep 23, 2016.