Individual
MR. DEXTER L JENKINS SR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CDCA
Contact information
Practice address
7301 POE AVE, DAYTON, OH 45414-2559
(937) 280-4631
Mailing address
11 W MONUMENT AVE FL 7, DAYTON, OH 45402-1274
(937) 461-4300
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
178181
OH
106S00000X
Behavior Technician
—
—
175T00000X
Peer Specialist
—
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326012360
AGENCY NPI
OH
Enumeration date
08/21/2019
Last updated
02/12/2026
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