Robinson, Jack A.

Robinson, Jack A. is an sole proprietor health care provider with primary practice located at 4650 E Prairie Ln , Cottonwood AZ 86326-5970. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Professional is his primary health care specialty. Robinson, Jack A. can be contacted via phone (602) 717-8682.

Contact Information

Primary practice address
4650 E Prairie Ln Cottonwood AZ 86326-5970
Phone: (602) 717-8682
Fax: (928) 649-0270
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X LISAC-11096 Arizona
Behavioral Health & Social Service Providers / Professional 101YP2500X LPC-11734 Arizona

Profile Details

NPI number 1447528567
LBN Legal business name Robinson, Jack A.
Credentials Master of Arts (MA)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 3rd, 2011
Last updated Dec 3rd, 2011 - about 15 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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