Provider Demographics
NPI:1255666160
Name:MACLEAN ROBINSON, JESSIE NINA (MS)
Entity type:Individual
Prefix:MRS
First Name:JESSIE
Middle Name:NINA
Last Name:MACLEAN ROBINSON
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:JESSIE
Other - Middle Name:NINA
Other - Last Name:MACLEAN ROBINSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:360 MERRIMACK ST
Mailing Address - Street 2:BLDG 9, 3RD FLOOR
Mailing Address - City:LAWRENCE
Mailing Address - State:MA
Mailing Address - Zip Code:01843-1740
Mailing Address - Country:US
Mailing Address - Phone:978-620-2536
Mailing Address - Fax:
Practice Address - Street 1:360 MERRIMACK ST
Practice Address - Street 2:BLDG 9, 3RD FLOOR
Practice Address - City:LAWRENCE
Practice Address - State:MA
Practice Address - Zip Code:01843-1740
Practice Address - Country:US
Practice Address - Phone:978-620-2536
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-09
Last Update Date:2015-01-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist