Individual
SANDRA KAY JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
2410 GRAPE RD STE 6, MISHAWAKA, IN 46545-3015
(742) 170-1285
(574) 288-3447
Mailing address
10100 ELIDA RD, DELPHOS, OH 45833-9058
(419) 695-8010
(606) 328-5153
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
Other
Enumeration date
03/09/2023
Last updated
08/15/2024
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