Individual
RACHEL HELEN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DMH
Contact information
Practice address
118 MAIN ST, NORTHAMPTON, MA 01060-3138
(413) 586-4038
Mailing address
118 MAIN ST, NORTHAMPTON, MA 01060-3138
(413) 586-4038
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
3062
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3062
LICENSE
MA
Enumeration date
02/12/2007
Last updated
07/08/2007
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