Individual
MR. DOUGLAS TRUE JENKINS I
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CASAC
Contact information
Practice address
5714 FARRAGUT RD, BROOKLYN, NY 11234-1346
(718) 840-9982
Mailing address
5714 FARRAGUT RD, BROOKLYN, NY 11234-1346
(718) 840-9982
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
Primary
26846
NY
Other
Enumeration date
11/09/2016
Last updated
11/09/2016
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