Provider Information for 1649492216
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RICHARD ROBB LPC
Sex: Male
NPI: 1649492216
Last Updated: 2025-01-02
Certification Date: 2025-01-02
Certification Date: 2025-01-02
Details
| Name | Value | ||||||||
|---|---|---|---|---|---|---|---|---|---|
| NPI | 1649492216 | ||||||||
| Enumeration Date | 2007-05-03 | ||||||||
| NPI Type | NPI-1 Individual | ||||||||
| Sole Proprietor | NO | ||||||||
| Status | Active | ||||||||
| Mailing Address | PO BOX 1908 BETHEL, AK 99559-1908 United States Phone: 907-543-3773 | Fax:907-543-6465 | ||||||||
| Primary Practice Address | PO BOX 1908 BETHEL, AK 99559-1908 United States Phone: 907-543-3773 | Fax:907-543-3435 | ||||||||
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