Individual
FREDERICK MAUGER JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
337 BLACKLATCH LN, CAMP HILL, PA 17011-8413
(717) 620-1291
Mailing address
337 BLACKLATCH LN, CAMP HILL, PA 17011-8413
(717) 620-1291
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
PC000070
PA
103TB0200X
Cognitive & Behavioral Psychologist
PS007922
—
103TC1900X
Counseling Psychologist
Primary
PS007922L
—
Other
Enumeration date
01/15/2021
Last updated
01/15/2021
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