Individual
JOSEPH D. JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MHR, LPC
Contact information
Practice address
262 E UNIVERSITY DR, MESA, AZ 85201-5932
(602) 685-6000
(602) 389-3780
Mailing address
3003 N CENTRAL AVE STE 400, PHOENIX, AZ 85012-2929
(602) 685-6000
(602) 302-7925
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
3136
OK
101YA0400X
Addiction (Substance Use Disorder) Counselor
LIAC-15209
AZ
101YP2500X
Professional Counselor
Primary
LPC-19761
AZ
Other
Enumeration date
07/13/2007
Last updated
02/06/2025
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