Individual
NASTALGIA ANNA JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BT
Contact information
Practice address
700 ABBOTT DR STE 2, BROOMALL, PA 19008-4323
(844) 244-1818
Mailing address
1500 S DOUGLAS RD, CORAL GABLES, FL 33134-4108
(844) 244-1818
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
—
—
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
12/07/2021
Last updated
09/16/2024
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