Individual
MS. CYNTHIA DARLENE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
200 ELM ST, CONWAY, SC 29526-5118
(843) 488-1615
Mailing address
304 W BOND ST, MARION, SC 29571-3530
(843) 260-8824
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
4894
SC
101YP2500X
Professional Counselor
86699
SC
Other
Enumeration date
03/22/2013
Last updated
03/22/2013
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