Individual
ANNETTE ALLEN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LMFT
Contact information
Practice address
229 S RIVERSIDE AVE, SUITE M, RIALTO, CA 92376-6467
(909) 873-8363
(909) 873-5039
Mailing address
PO BOX 2918, BIG BEAR LAKE, CA 92315-2918
(909) 873-8363
(909) 873-5039
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
MFC28241
CA
Other
Enumeration date
03/14/2007
Last updated
04/08/2013
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