Individual
ANIETRA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2024 E FLORIDA ST APT 2, LONG BEACH, CA 90814-6933
(562) 310-8751
Mailing address
2024 E FLORIDA ST APT 2, LONG BEACH, CA 90814-6933
(562) 310-8751
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
CA
Other
Enumeration date
01/31/2022
Last updated
01/31/2022
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