Individual
MRS. CHRISTINE ANN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LPC
Contact information
Practice address
615 N 6TH ST, SHEBOYGAN, WI 53081-4612
(810) 355-6178
Mailing address
194 LEXINGTON CT, SHEBOYGAN FALLS, WI 53085-3327
(810) 355-6178
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4573-125
WI
101YP2500X
Professional Counselor
6401002776
MI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1017382
MCLAREN
MI
01
—
34930
HEALTH PLAN OF MICHIGAN
MI
01
—
362835
MANAGED HEALTH NETWORK
MI
Enumeration date
01/05/2006
Last updated
12/20/2012
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