Individual
JACQUELINE ROBINSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-A
Contact information
Practice address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 727-9274
Mailing address
2100 CHARLIE HALL BLVD, CHARLESTON, SC 29414-5832
(843) 906-8521
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
8794
SC
101YS0200X
School Counselor
Primary
8794
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1760596480
—
SC
Enumeration date
05/06/2024
Last updated
05/07/2024
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