Individual
MRS. JAIME LAINE JENKINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
4255 WADE GREEN RD NW STE 414, KENNESAW, GA 30144-1763
(678) 213-2194
Mailing address
4255 WADE GREEN RD NW STE 414, KENNESAW, GA 30144-1763
(678) 213-2194
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
7506
NC
101YP2500X
Professional Counselor
Primary
LPC010668
GA
Other
Enumeration date
01/29/2010
Last updated
09/16/2021
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