Individual
DEBORAH JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
62 TYLER ST, LAGRANGE, GA 30240-8837
(706) 957-3185
Mailing address
62 TYLER ST, LAGRANGE, GA 30240-8837
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC002801
GA
Other
Enumeration date
07/07/2011
Last updated
07/07/2011
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