Individual
JACKIE PAUL JENKINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPC
Contact information
Practice address
18714 N VILLAGE, HAGERSTOWN, MD 21742-2454
(301) 733-0330
(301) 733-4038
Mailing address
13121 BROOK LANE, HAGERSTOWN, MD 21742-1945
(301) 733-0330
(301) 733-4038
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
LC5969
MD
Other
Enumeration date
07/09/2015
Last updated
12/13/2021
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