Individual
MR. JOHNNIE LEE JENKINS III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, NCC, RPT, LPC
Contact information
Practice address
2531 BRIARCLIFF RD NE STE 102, ATLANTA, GA 30329-3017
(770) 309-5468
(678) 907-5468
Mailing address
PO BOX 490657, ATLANTA, GA 30349-0657
(770) 309-5468
(678) 907-5468
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3039
GA
Other
Enumeration date
07/28/2006
Last updated
07/08/2007
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