Jackson, Robin Michelle

Jackson, Robin Michelle is an individual health care provider with primary practice located at 2126 N 1St St Ste F , Jacksonville AR 72076-2868. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Jackson, Robin Michelle can be contacted via phone (501) 982-5000.

Contact Information

Primary practice address
2126 N 1St St Ste F Jacksonville AR 72076-2868
Phone: (501) 982-5000
Fax: (501) 982-5007
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 6536-C Arkansas

Profile Details

NPI number 1912212705
LBN Legal business name Jackson, Robin Michelle
Credentials Licensed Clinical Social Worker (LCSW)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 17th, 2010
Last updated May 14th, 2018 - about 6 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 1912212705 NPPES
Arkansas MEDICAID 191705795

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