Individual
DR. JACK OSBORNE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
415 DIXIE ST, CARROLLTON, GA 30117-3921
(678) 230-2046
Mailing address
303 OLD CAMP CHURCH RD, CARROLLTON, GA 30117-8207
(678) 230-2046
Taxonomy
Speciality
Code
Description
License number
State
103TB0200X
Cognitive & Behavioral Psychologist
Primary
PSY000651
GA
Other
Enumeration date
07/27/2007
Last updated
04/05/2026
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