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Individual

ROBIN ELAINE JACKSON

Active
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Individual

ROBIN ELAINE JACKSON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.162999
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA.166828
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCII.161636
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCDCIII.162469
OH
101YM0800X
Mental Health Counselor
C.2405498-TRNE
OH
101YP2500X
Professional Counselor
Primary
C.2406666
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0339385
OH
Enumeration date
06/14/2018
Last updated
12/20/2024
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