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Individual

TIFFANY M JENKINS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LCADC; LPC

Contact information

Practice address
535 ROUTE 38 STE 123H, CHERRY HILL, NJ 08002-2971
(856) 873-9069
(856) 896-0726
Mailing address
1405 CHEWS LANDING RD STE 50, LAUREL SPRINGS, NJ 08021-2769
(856) 873-9069

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
37LC00198300
NJ
101YP2500X
Professional Counselor
37PC00636000
NJ
101YP2500X
Professional Counselor
PC009892
PA

Other

Enumeration date
07/23/2014
Last updated
12/05/2019
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