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Individual

MRS. CYNTHIA ANN JENKINS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRC, NCLPC

Contact information

Practice address
4114 BREEZEWOOD DR, UNIT # 101, WILMINGTON, NC 28412-5225
(910) 798-0116
Mailing address
4114 BREEZEWOOOD DRIVE, APT. #101, WILMINGTON, NC 28412-8517
(910) 798-0116

Taxonomy

Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
2068
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
00009616
NAT'L CERT REHAB COUNSEL
01
2068
LIC PRACT COUNSELOR
NC
Enumeration date
05/21/2007
Last updated
02/11/2015
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