Dr. Charles Benjamin Jardin
Clinical Psychologist Rehabilitation Psychologist Cognitive & Behavioral Psychologist Addiction Psychologist (Substance Use Disorder)
508 Fulton St # 116d
Durham
, North Carolina 27705-3875
Dr. Charles Benjamin Jardin
Clinical Psychologist Rehabilitation Psychologist Cognitive & Behavioral Psychologist Addiction Psychologist (Substance Use Disorder)
508 Fulton St # 116d
Durham
, North Carolina 27705-3875
(919) 672-7750
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About
Features
Specialties
- Addiction Psychologist (Substance Use Disorder)
- Cognitive & Behavioral Psychologist
- Clinical Psychologist
- Rehabilitation Psychologist
Languages spoken
- English
Location
First Address
- Dr. Charles Benjamin Jardin
- 204 Dogwood Bloom Ln
- Hillsborough, NC
- Zip : 27278-9095
- Phone : (919) 672-7750
Second Address
- Dr. Charles Benjamin Jardin
- 508 Fulton St # 116d
- Durham, NC
- Zip : 27705-3875
- Phone : (919) 286-0411
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| N | 103TA0400X | Addiction Psychologist (Substance Use Disorder) | ||
| N | 103TB0200X | Cognitive & Behavioral Psychologist | ||
| Y | 103G00000X | Clinical Psychologist | 5606 | NC |
| Y | 103TC0700X | Clinical Psychologist | 5606 | NC |
| N | 103TR0400X | Rehabilitation Psychologist |
National Provider Identifier
| NPI | 1770133548 |
|---|---|
| Provider Name | Dr. Charles Benjamin Jardin |
| First Address | Hillsborough, NC 27278-9095 |
| Second Address | Durham, NC 27705-3875 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/09/2019 |
| Last Update Date | 13/09/2019 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 5606 | NC PSYCHOLOGY BOARD (01) | NC |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.