Individual
LANEKA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3643 WALTON WAY EXT, BUILDING 4, AUGUSTA, GA 30909-4507
(706) 364-1404
Mailing address
411 WICKHAM DR, GRANITEVILLE, SC 29829-3949
(706) 364-1404
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
03/05/2012
Last updated
03/05/2012
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