Individual
CINDY C JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC, MAC LAC
Contact information
Practice address
1852 IRWIN DR BLDG 1059, COLORADO SPRINGS, CO 80913-4176
(719) 526-2062
(719) 526-8154
Mailing address
220 RUSKIN DR, COLORADO SPRINGS, CO 80910-2522
(719) 572-6150
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
6703
CO
101YA0400X
Addiction (Substance Use Disorder) Counselor
ACD0000595
CO
101YP2500X
Professional Counselor
5076
CO
101YP2500X
Professional Counselor
LPC0005076
CO
Other
Enumeration date
11/24/2008
Last updated
02/05/2021
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