Individual
DORIS JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
701 DEVONSHIRE DR STE 102E, CHAMPAIGN, IL 61820-7337
(217) 343-7707
Mailing address
701 DEVONSHIRE DR STE 102E, CHAMPAIGN, IL 61820-7337
(217) 343-7707
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
180.011509
IL
Other
Enumeration date
03/17/2016
Last updated
05/05/2022
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