Individual
MR. JERRY A. JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.ED., MAC
Contact information
Practice address
4020 FOLKER ST, ANCHORAGE, AK 99508-5321
(907) 563-1000
(907) 563-2045
Mailing address
PO BOX 231129, ANCHORAGE, AK 99523-1129
(907) 563-1000
(907) 563-2045
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LDC0000000255
TN
101YM0800X
Mental Health Counselor
Primary
—
—
Other
Enumeration date
07/03/2006
Last updated
09/11/2025
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