Individual
SHAVONNA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
91 NORTHWEST DR, PLAINVILLE, CT 06062-1534
(888) 793-3500
Mailing address
32 CLARENCE CT, MIDDLETOWN, CT 06457-4057
(860) 882-4797
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
—
—
Other
Enumeration date
05/17/2024
Last updated
05/17/2024
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