Individual
MS. FREDIA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5345 HIGHWAY 18 W, JACKSON, MS 39209-9421
(601) 927-0188
(601) 398-2254
Mailing address
904 WATKINS PL, JACKSON, MS 39206-3701
(662) 701-9512
Taxonomy
Speciality
Code
Description
License number
State
103TP2701X
Group Psychotherapy Psychologist
Primary
—
—
Other
Enumeration date
12/13/2023
Last updated
12/13/2023
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