Individual
TERRENCE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
BS
Contact information
Practice address
3846 YOSEMITE PARK LN, SNELLVILLE, GA 30039-6710
(404) 991-0069
Mailing address
PO BOX 391041, SNELLVILLE, GA 30039-0018
(404) 991-0069
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
05/08/2019
Last updated
05/08/2019
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