Individual
MS. MICHEL'LE SHANNE JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.ED
Contact information
Practice address
201 RIVERSIDE DR STE 2A, DAYTON, OH 45405-4956
(937) 853-8333
Mailing address
201 RIVERSIDE DR STE 2A, DAYTON, OH 45405-4956
(937) 853-8333
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
OH
106S00000X
Behavior Technician
—
OH
171W00000X
Contractor
Primary
OH3200338
OH
Other
Enumeration date
06/12/2023
Last updated
03/10/2026
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