Individual
MISS THOMASINA MARIE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW,CSAC
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
15353-132
WI
1041C0700X
Clinical Social Worker
Primary
7605-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43715900
—
WI
Enumeration date
03/19/2007
Last updated
09/04/2025
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