Individual
AUBREY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CDCA
Contact information
Practice address
1 ELIZABETH PL, DAYTON, OH 45417-3445
(937) 813-1737
Mailing address
1028 WYOMING ST, DAYTON, OH 45410-1906
(614) 537-0438
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDCA.178905
OH
101YA0400X
Addiction (Substance Use Disorder) Counselor
CDCA175298
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
CDCA.178905
—
OH
Enumeration date
12/18/2020
Last updated
11/16/2021
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