Individual
DR. CHARLES BENJAMIN JARDIN
Active
Individual
DR. CHARLES BENJAMIN JARDIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PH.D.
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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