Individual
MS. LARAINE KIM JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
5211 TRENHOLM RD, SUITE B, COLUMBIA, SC 29206
(843) 732-4664
Mailing address
5211 TRENHOLM RD, SUITE B, COLUMBIA, SC 29206
(843) 732-4664
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
101YP2500X
Professional Counselor
Primary
6381
SC
Other
Enumeration date
11/05/2013
Last updated
12/13/2016
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