Individual
DIAMOND JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
26150 5 MILE RD STE 21, REDFORD, MI 48239-3240
(313) 695-0491
Mailing address
26150 5 MILE RD STE 21, REDFORD, MI 48239-3240
(313) 695-0491
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6401222538
MI
Other
Enumeration date
10/21/2014
Last updated
06/06/2022
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