Individual
DR. STEPHEN SEAN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHD, ABPP
Contact information
Practice address
1400 W SAINT GERMAIN ST STE 105, SAINT CLOUD, MN 56301-4101
(320) 253-3715
Mailing address
1411 W SAINT GERMAIN ST STE 105, SAINT CLOUD, MN 56301-4180
(320) 253-3715
(320) 252-2567
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
4757
MN
Other
Enumeration date
08/12/2020
Last updated
08/27/2021
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