Individual
DR. MELISSA R JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSC.D, CSC, PCT
Contact information
Practice address
580 CURTIS RD LOT 4, HINESVILLE, GA 31313-7055
(912) 825-4362
Mailing address
580 CURTIS RD LOT 4, HINESVILLE, GA 31313-7055
(912) 825-4362
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
Primary
—
GA
171M00000X
Case Manager/Care Coordinator
—
GA
174V00000X
Clinical Ethicist
—
GA
221700000X
Art Therapist
—
KY
372500000X
Chore Provider
—
—
372600000X
Adult Companion
—
GA
374K00000X
Religious Nonmedical Practitioner
—
GA
374T00000X
Religious Nonmedical Nursing Personnel
—
GA
374U00000X
Home Health Aide
—
KY
376J00000X
Homemaker
—
GA
376K00000X
Nurse's Aide
—
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
CSC2689
CERTIFIED PASTORAL COUNSELOR
GA
01
—
D.PSC
DOCTOR OF PASTORAL SCIENCE & MEDICINE
TX
01
—
GA2689HHC
HOLISTIC HEALTH COACH
GA
01
—
PCT2689
PATIENT CARE SPEACIALIST
GA
Enumeration date
12/26/2018
Last updated
11/08/2020
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