Individual
JONATHAN E. JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 824-0342
(601) 824-0349
Mailing address
613 MARQUETTE RD, BRANDON, MS 39042-3038
(601) 824-0342
(601) 824-0349
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
T0152
MS
Other
Enumeration date
03/24/2021
Last updated
06/13/2023
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