Individual
MS. DEBRA ANN JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCMHCA, LCAS, CPSS
Contact information
Practice address
7315 CIRCLEBANK DRIVE, RALEIGH, NC 27615-5611
(347) 272-9041
Mailing address
7315 CIRCLEBANK DRIVE, RALEIGH, NC 27615-5611
(347) 272-9041
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
LCAS-25944
NC
101YM0800X
Mental Health Counselor
Primary
A14979
NC
Other
Enumeration date
10/22/2019
Last updated
11/27/2020
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