Individual
MS. TIFFANY JUSTINE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
31 N UNION ST, PAWTUCKET, RI 02860-2915
(401) 725-2520
Mailing address
31 N UNION ST, PAWTUCKET, RI 02860-2915
(401) 725-2520
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
CDP00543
RI
Other
Enumeration date
04/19/2013
Last updated
04/19/2013
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