MEDICARE: JAMIE VENETIA ROBINSON MA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor

General Provider Information

NPI Number	:	1376799973
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JAMIE VENETIA ROBINSON MA

Provider Business Mailing Address
First Line	:	3390 PEACHTREE RD NE STE 1102
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30326-2819
Country	:	US
Telephone Number	:	404-442-4440
Fax Number	:	404-442-4442

Provider Business Practice Location Address
First Line	:	3390 PEACHTREE RD NE STE 1102
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30326-2819
Country	:	US
Telephone Number	:	404-442-4440
Fax Number	:	404-442-4442

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/14/2008
Last Update Date	:	08/14/2008

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