Robertson, Lori Annette

Robertson, Lori Annette is an individual health care provider with primary practice located at 1810 Dogwood Dr , Kokomo IN 46902-5737. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Clinical, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder). Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Robertson, Lori Annette can be contacted via phone (260) 274-0230.

Contact Information

Primary practice address
1810 Dogwood Dr Kokomo IN 46902-5737
Phone: (260) 274-0230
Fax: (260) 274-1500
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 34005967A Indiana
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 87000744A Indiana

Profile Details

NPI number 1124056460
LBN Legal business name Robertson, Lori Annette
Credentials LCSW, LCAC
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 28th, 2006
Last updated Jul 7th, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1124056460 NPPES
Indiana Other 14574 ICADC

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