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Individual
TODD JENKINS
Active
Individual
TODD JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMHC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
00380
IA
106H00000X
Marriage & Family Therapist
00191
IA
Other
Enumeration date
07/10/2006
Last updated
08/30/2007
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