Individual
KEVIN N. JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M. ED.
Contact information
Practice address
2065 TACKETTS VILLAGE SQ, APT. 301, WOODBRIDGE, VA 22192-3425
(215) 360-7981
Mailing address
2065 TACKETTS VILLAGE SQ, APT. 301, WOODBRIDGE, VA 22192-3425
(215) 360-7981
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LC7667
MD
Other
Enumeration date
02/01/2017
Last updated
03/10/2017
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