Jardin, Charles Benjamin

Jardin, Charles Benjamin is an individual health care provider with primary practice located at 508 Fulton St # 116D , Durham NC 27705-3875. He recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Rehabilitation, Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), Behavioral Health & Social Service Providers / Cognitive & Behavioral, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is his primary health care specialty. Jardin, Charles Benjamin can be contacted via phone (919) 286-0411.

Contact Information

Primary practice address
508 Fulton St # 116D Durham NC 27705-3875
Phone: (919) 286-0411
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Rehabilitation 103TR0400X
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 103TA0400X
Behavioral Health & Social Service Providers / Cognitive & Behavioral 103TB0200X
Behavioral Health & Social Service Providers / Clinical 103TC0700X 5606 North Carolina

Profile Details

NPI number 1770133548
LBN Legal business name Jardin, Charles Benjamin
Credentials PH.D.
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 13th, 2019
Last updated Sep 13th, 2019 - about 5 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 1770133548 NPPES
North Carolina Other 5606 NC PSYCHOLOGY BOARD

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