Individual
DR. CHARLES BENJAMIN JARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
960 CORPORATE DR STE 201, HILLSBOROUGH, NC 27278-8560
(919) 286-0411
Mailing address
204 DOGWOOD BLOOM LN, HILLSBOROUGH, NC 27278-9095
(919) 672-7750
Taxonomy
Speciality
Code
Description
License number
State
103TA0400X
Addiction (Substance Use Disorder) Psychologist
—
—
103TB0200X
Cognitive & Behavioral Psychologist
—
—
103TC0700X
Clinical Psychologist
Primary
5606
NC
103TR0400X
Rehabilitation Psychologist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5606
NC PSYCHOLOGY BOARD
NC
Enumeration date
09/13/2019
Last updated
08/15/2024
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