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General NPI Number Information
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NPI Number | 1447747456
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Entity Type | Organization
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Legal Business Name | JEANNA ROBBINS, LPC, COUNSELING SERVICES, LLC
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Dates
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Enumeration Date | 04/16/2018
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 1110 KINLEY RD
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City | IRMO
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State | SC
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Zip | 29063-9633
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Country | US
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Telephone | 803-381-5637
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Fax | 803-753-0041
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Provider Business Mailing Address
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Address Line | 1110 KINLEY RD
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City | IRMO
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State | SC
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Zip | 29063-9633
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Country | US
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Telephone | 803-381-5637
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Fax | 803-753-0041
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Authorized Official
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Title or Position | OWNER
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Name | JEANNA MCINTOSH
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Credential | MA, LPC, NCC, CCMHC
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Telephone | 803-381-5637
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5608
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License Number State | SC
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