Most Relevant Information
Provider Data
| NPI Number: | 1003275652 |
| Provider Name: | ROBIN RUTAN LPCCS, LSW, LICDC-CS |
| Entity Type: | Individual |
| Taxonomy Code: | 101YA0400X |
| Specialty: | Counselor |
| License Number: | ICDC991726 |
Most Important Dates
| Enumeration Date: | 02/10/2016 |
| Last Updated: | 04/02/2022 |
Provider Practice Location
2080 CITYGATE DR
COLUMBUS
OH
432193591
Practice Location Phone/Fax
| Phone: | 6144453750 |
| Fax: |
Provider Mailing Location
467 E KOSSUTH ST
COLUMBUS
OH
43206
Provider Mailing Phone/Fax
| Phone: | 6145829456 |
| Fax: |