Provider Demographics
NPI:1164851481
Name:JESSICA ROBINA, LLC
Entity Type:Organization
Organization Name:JESSICA ROBINA, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINA
Authorized Official - Suffix:
Authorized Official - Credentials:LPC
Authorized Official - Phone:973-479-7906
Mailing Address - Street 1:13 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-5941
Mailing Address - Country:US
Mailing Address - Phone:973-479-7906
Mailing Address - Fax:973-267-4123
Practice Address - Street 1:13 JAMES ST
Practice Address - Street 2:
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-5941
Practice Address - Country:US
Practice Address - Phone:973-479-7906
Practice Address - Fax:973-267-4123
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-06
Last Update Date:2013-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00434200101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty