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Individual
MR. JEFFREY KEITH JENKINS I
Active
Individual
MR. JEFFREY KEITH JENKINS I
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LADC, LPC LMFT EMDR
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
PENDING
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
OK
101YM0800X
Mental Health Counselor
PENDING
OK
106H00000X
Marriage & Family Therapist
PENDING
OK
Other
Enumeration date
08/22/2011
Last updated
06/09/2015
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