Individual
TIMOTHY RAY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
205 FIRST ST, ANTHONY, NM 88021-7382
(575) 201-5700
Mailing address
205 FIRST ST, ANTHONY, NM 88021-7382
(575) 201-5700
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
CTB-2026-0044
NM
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
09/30/2025
Last updated
01/28/2026
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