Individual
LORRAINE K. JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CAC
Contact information
Practice address
WACS, 11827 OCEAN GATEWAY, OCEAN CITY, MD 21842
(410) 213-0202
(410) 213-1408
Mailing address
35572 POPLAR NECK RD, WILLARDS, MD 21874-1340
(410) 835-2977
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
ACO164
MD
Other
Enumeration date
11/17/2006
Last updated
07/08/2007
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