Individual
EMILY ELIZABETH JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
91150 N INDUSTRIAL WAY, COBURG, OR 97408-9512
(541) 687-1110
Mailing address
91150 N INDUSTRIAL WAY, COBURG, OR 97408-9512
(541) 687-1110
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
23-QMHA-R-4588
OR
Other
Enumeration date
11/06/2023
Last updated
11/06/2023
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