Robinson, Jacqueline

Robinson, Jacqueline is an sole proprietor health care provider with primary practice located at 2100 Charlie Hall Blvd , Charleston SC 29414-5832. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / School. Behavioral Health & Social Service Providers / School is her primary health care specialty. Robinson, Jacqueline can be contacted via phone (843) 727-9274.

Contact Information

Primary practice address
2100 Charlie Hall Blvd Charleston SC 29414-5832
Phone: (843) 727-9274
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 8794 South Carolina
Behavioral Health & Social Service Providers / School 101YS0200X 8794 South Carolina

Profile Details

NPI number 1124875125
LBN Legal business name Robinson, Jacqueline
Credentials LPC-A
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 6th, 2024
Last updated May 7th, 2024 - about 2 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 1124875125 NPPES
South Carolina MEDICAID 1760596480

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