Individual
TAWANDA JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
110 DEWITT ST, NEW HAVEN, CT 06519-2131
(203) 410-8941
Mailing address
110 DEWITT ST, NEW HAVEN, CT 06519-2131
(203) 410-8941
Taxonomy
Speciality
Code
Description
License number
State
101YP1600X
Pastoral Counselor
—
CT
225700000X
Massage Therapist
Primary
—
CT
Other
Enumeration date
12/17/2025
Last updated
12/17/2025
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