Individual
NATHANIEL JENKINS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
LPC, NBCC
Contact information
Practice address
6453 SAN BONITA AVE, CLAYTON, MO 63105-3117
(314) 403-1623
Mailing address
6453 SAN BONITA AVE, CLAYTON, MO 63105-3117
(314) 403-1623
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
2016045162
MO
Other
Enumeration date
11/12/2021
Last updated
11/12/2021
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