Individual
MARIE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BA SOCIOLOGY
Contact information
Practice address
24 GREAT PLAINS ROAD, ARAPAHO, WY 82510-9144
(307) 856-0470
(307) 857-4383
Mailing address
PO BOX 190, ST STEPHENS, WY 82524-0190
(307) 856-0470
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
Other
Enumeration date
02/27/2018
Last updated
02/27/2018
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