Individual
ERICA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5000 LAKE STREET #4955, LAKE CHARLES, LA 70606
(337) 502-9696
Mailing address
5000 LAKE STREET #4955, LAKE CHARLES, LA 70606
(337) 502-9696
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
09/20/2017
Last updated
05/23/2018
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