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Individual

MR. AL-MALIK KENNETH JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LPC

Contact information

Practice address
4122 ROUTE 516, MATAWAN, NJ 07747-7031
(732) 679-4500
(732) 679-4549
Mailing address
4122 ROUTE 516, MATAWAN, NJ 07747-7031
(732) 679-4500
(732) 679-4549

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
37PC00426400
NJ

Other

Enumeration date
04/15/2014
Last updated
04/24/2016
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