Individual
MRS. DETRIA S JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
617 N 2ND ST, MONROE, LA 71201-6235
(318) 387-3545
(318) 387-3541
Mailing address
PO BOX 1222, WEST MONROE, LA 71294-1222
(318) 387-3545
(318) 387-3541
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YP2500X
Professional Counselor
Primary
9219
LA
171M00000X
Case Manager/Care Coordinator
—
—
3747P1801X
Personal Care Attendant
PCA 14071
LA
Other
Enumeration date
01/08/2008
Last updated
03/12/2026
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