Individual
CAMILLE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, PC-IT
Contact information
Practice address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-5990
(414) 955-6282
Mailing address
1155 N MAYFAIR RD, WAUWATOSA, WI 53226-3462
(414) 955-5990
(414) 955-6282
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
2254-226
WI
Other
Enumeration date
10/07/2015
Last updated
03/14/2022
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