Individual
MRS. KIM YVONNE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MSW,P-LCSW
Contact information
Practice address
234 MAIN ST E, AHOSKIE, NC 27910-3418
(252) 862-0002
(252) 862-0007
Mailing address
201 MORRIS RD, AHOSKIE, NC 27910-9783
(252) 287-9948
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
—
—
1041C0700X
Clinical Social Worker
P006804
NC
Other
Enumeration date
04/10/2012
Last updated
02/03/2023
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