Individual
COREY JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.,S
Contact information
Practice address
555 SAINT TAMMANY ST STE D, BATON ROUGE, LA 70806-6064
(225) 929-9738
(225) 929-9740
Mailing address
415 COURT ST, PORT ALLEN, LA 70767-2747
(225) 245-9070
(225) 245-9070
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
05/28/2015
Last updated
12/14/2020
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