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Individual
TIFFANY M JENKINS
Active
Individual
TIFFANY M JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC; LPC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00198300
NJ
101YP2500X
Professional Counselor
37PC00636000
NJ
101YP2500X
Professional Counselor
PC009892
PA
Other
Enumeration date
07/23/2014
Last updated
12/05/2019
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