Individual
MANILLA SHANTA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4110 WALL ST, MONTGOMERY, AL 36106-2924
(334) 247-3900
(334) 247-3902
Mailing address
PO BOX 240912, MONTGOMERY, AL 36124-0912
(334) 247-3900
(334) 247-3902
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
3864
AL
Other
Enumeration date
08/01/2020
Last updated
08/01/2020
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