Individual
CHARLOTTE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
632 COFFEEN AVE, SHERIDAN, WY 82801-5314
(307) 655-5510
Mailing address
632 COFFEEN AVE, SHERIDAN, WY 82801-5314
(307) 655-5510
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LPC-1731
WY
Other
Enumeration date
12/02/2014
Last updated
05/12/2021
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