Individual
CODY JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA
Contact information
Practice address
818 JAMIESON RD, LUTHERVILLE TIMONIUM, MD 21093-3901
(410) 236-9615
Mailing address
818 JAMIESON RD, LUTHERVILLE TIMONIUM, MD 21093-3901
(410) 236-9615
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LGP12106
MD
Other
Enumeration date
11/24/2021
Last updated
11/24/2021
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