Individual
ALICEA R JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
524 ALBEMARLE DR STE 101, CHESAPEAKE, VA 23322-5500
(757) 630-2809
(833) 398-2607
Mailing address
PO BOX 15768, CHESAPEAKE, VA 23328-5768
(757) 630-2809
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
0701008517
VA
Other
Enumeration date
12/28/2020
Last updated
03/07/2022
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