Individual
JESSA LYNN JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1450 PETERMAN DR STE A, ALEXANDRIA, LA 71301
(318) 992-5008
Mailing address
2705 HIGHWAY 28 E, PINEVILLE, LA 71360-5712
(318) 704-6770
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
08/15/2017
Last updated
06/28/2018
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