Individual
AUTUMN RAIN RUSSELL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
7850 RIVERS AVE, NORTH CHARLESTON, SC 29406-4016
(843) 588-5677
Mailing address
306 N MAIN ST STE 1A, HINESVILLE, GA 31313-2562
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/27/2021
Last updated
05/27/2026
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