Individual
ERICA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCADC
Contact information
Practice address
609 HAMMOND PLZ, HOPKINSVILLE, KY 42240-4971
(364) 999-0110
(270) 890-0130
Mailing address
609 HAMMOND PLZ, HOPKINSVILLE, KY 42240-4971
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
275856
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
275856
—
KY
Enumeration date
01/10/2023
Last updated
01/10/2023
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