Individual
KRISTENA ANGEL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
L.C.P.C
Contact information
Practice address
6907 SIMMONS LN, CLINTON, MD 20735-9721
(240) 603-7283
Mailing address
6907 SIMMONS LN, CLINTON, MD 20735-9721
(240) 305-6422
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
LC4937
MD
101YM0800X
Mental Health Counselor
LC4937
MD
101YP2500X
Professional Counselor
Primary
LC4937
MD
Other
Enumeration date
07/25/2015
Last updated
09/03/2025
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